34D2287613 CLIA NUMBER - LA VITA BELLA BIRTH CENTER, PLLC

Laboratory Demographics

CLIA Number: 34D2287613

Facility Name: LA VITA BELLA BIRTH CENTER, PLLC

Facility Address:
310 NEW BRIDGE STREET
JACKSONVILLE, NC
ZIP 28540
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Facility Phone Number: 910 621-4266

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1720609589

Taxonomy: 261QB0400X - Clinic/Center
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.

CLIA Record

Field Name	Field Value
CLIA Number	34D2287613
LAB Type	Practitioner Other
Facility Name	LA VITA BELLA BIRTH CENTER, PLLC
Street	310 NEW BRIDGE STREET
City	JACKSONVILLE
State	NC
ZIP	28540
Phone	910 621-4266
CertificateType	3
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024