34D2193228 CLIA NUMBER - LIFE, INC-PERQUIMANS

Laboratory Demographics

  • CLIA Code: 34D2193228
  • Facility Name: LIFE, INC-PERQUIMANS
  • Facility Address: 142 RIVERWOOD DRIVE
    HERTFORD, NC
    ZIP 27944
  • Facility Phone: 252 426-1926
  • Facility Type: Other - DOA HOME
  • Facility Type: Waiver
  • Lab Director: SANDRA DUKE
  • NPI Number: 1962542837
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2193228
LAB Type Other - DOA HOME
Facility Name LIFE, INC-PERQUIMANS
Street 142 RIVERWOOD DRIVE
City HERTFORD
State NC
ZIP 27944
Phone 252 426-1926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Other - DOA HOME
Lab Director SANDRA DUKE

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