34D2284921 CLIA NUMBER - LIFE, INC WILLIAM ST GROUP HOME

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2284921
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name LIFE, INC WILLIAM ST GROUP HOME
Street 407 N. WILLIAM ST
City GOLDSBORO
State NC
ZIP 27530
Phone 919 734-1402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2023
Certificate Expiration Date 6/29/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SANDRA DUKE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025