34D2199954 CLIA NUMBER - WILSON ASSISTGED LIVING

Laboratory Demographics

  • CLIA Code: 34D2199954
  • Facility Name: WILSON ASSISTGED LIVING
  • Facility Address: 3501 SENIOR VILLAGE LANE
    WILSON, NC
    ZIP 27896
  • Facility Phone: 252 243-3186
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY L. MCKIVER
  • NPI Number: 1285770933
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2199954
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILSON ASSISTGED LIVING
Street 3501 SENIOR VILLAGE LANE
City WILSON
State NC
ZIP 27896
Phone 252 243-3186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANTHONY L. MCKIVER

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