34D2031968 CLIA NUMBER - AUTUMNFIELD OF BELHAVEN

Laboratory Demographics

  • CLIA Code: 34D2031968
  • Facility Name: AUTUMNFIELD OF BELHAVEN
  • Facility Address: 1345 SEED TICK NECK RD
    PINETOWN, NC
    ZIP 27865
  • Facility Phone: 252 964-2490
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CODY BELANGIA
  • NPI Number: 1255488805
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2031968
LAB Type Assisted Living Facility
Facility Name AUTUMNFIELD OF BELHAVEN
Street 1345 SEED TICK NECK RD
City PINETOWN
State NC
ZIP 27865
Phone 252 964-2490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Assisted Living Facility
Lab Director CODY BELANGIA

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