34D2136814 CLIA NUMBER - BEAUFORT COUNTY DETENTION CENTER

Laboratory Demographics

CLIA Code: 34D2136814
Facility Name: BEAUFORT COUNTY DETENTION CENTER
Facility Address: 112 WEST 2ND STREET
WASHINGTON, NC
ZIP 27889
Facility Phone: 252 946-7113
Facility Type: Prison
Facility Type: Microscopy
Lab Director: KELLEY M. NEWMAN
NPI Number: 1639601362
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2136814
LAB Type	Prison
Facility Name	BEAUFORT COUNTY DETENTION CENTER
Street	112 WEST 2ND STREET
City	WASHINGTON
State	NC
ZIP	27889
Phone	252 946-7113
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	9/15/2025
Certificate Expiration Date	9/14/2027
Facility Type	Prison
Lab Director	KELLEY M. NEWMAN

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