34D2017403 CLIA NUMBER - TERRA BELLA SHELBY

Laboratory Demographics

  • CLIA Code: 34D2017403
  • Facility Name: TERRA BELLA SHELBY
  • Facility Address: 1550 CHARLES ROAD
    SHELBY, NC
    ZIP 28152
  • Facility Phone: 704 471-2828
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACQUELINE E. SIBLEY-NEWTON
  • NPI Number: 1134765720
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017403
LAB Type Assisted Living Facility
Facility Name TERRA BELLA SHELBY
Street 1550 CHARLES ROAD
City SHELBY
State NC
ZIP 28152
Phone 704 471-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Assisted Living Facility
Lab Director JACQUELINE E. SIBLEY-NEWTON

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