34D2133454 CLIA NUMBER - BRIDGING THE GAP RESIDENTIAL SERVICES IV

Laboratory Demographics

  • CLIA Code: 34D2133454
  • Facility Name: BRIDGING THE GAP RESIDENTIAL SERVICES IV
  • Facility Address: 716 POPLAR STREET
    DURHAM, NC
    ZIP 27703
  • Facility Phone: 919 641-8378
  • Facility Type: Other - ADULT CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: MARSHELIA S. MORGAN
  • NPI Number: 1568651602
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 34D2133454
LAB Type Other - ADULT CARE FACILITY
Facility Name BRIDGING THE GAP RESIDENTIAL SERVICES IV
Street 716 POPLAR STREET
City DURHAM
State NC
ZIP 27703
Phone 919 641-8378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Other - ADULT CARE FACILITY
Lab Director MARSHELIA S. MORGAN

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