34D2235155 CLIA NUMBER - LIFE GOLDSBORO WORKSHOP

Laboratory Demographics

  • CLIA Code: 34D2235155
  • Facility Name: LIFE GOLDSBORO WORKSHOP
  • Facility Address: 2609 ROYALL AVE
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 778-1900
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SANDRA DUKE
  • NPI Number: 1609004506
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2235155
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name LIFE GOLDSBORO WORKSHOP
Street 2609 ROYALL AVE
City GOLDSBORO
State NC
ZIP 27534
Phone 919 778-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SANDRA DUKE

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