34D2130291 CLIA NUMBER - LIFETIME RESOURCES DAY PROGRAM

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Field Name	Field Value
CLIA Number	34D2130291
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LIFETIME RESOURCES DAY PROGRAM
Street	1316 S 16TH STREET
City	WILMINGTON
State	NC
ZIP	28401
Phone	910 762-1189
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/5/2025
Certificate Expiration Date	5/4/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	CAROLE WHIPP

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This page was last updated on: 9/29/2025