34D1073072 CLIA NUMBER - COASTAL PLAIN HOSPITAL

Laboratory Demographics

  • CLIA Code: 34D1073072
  • Facility Name: COASTAL PLAIN HOSPITAL
  • Facility Address: 2301 MEDPARK DRIVE
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 962-8163
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ROMUALDO TALENTO
  • NPI Number: 1417905589
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 34D1073072
LAB Type Hospital
Facility Name COASTAL PLAIN HOSPITAL
Street 2301 MEDPARK DRIVE
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 962-8163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Hospital
Lab Director ROMUALDO TALENTO

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