42D2207996 CLIA NUMBER - GENESIS BIRTH AND WELLNESS

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Laboratory Demographics

CLIA Number: 42D2207996

Facility Name: GENESIS BIRTH AND WELLNESS

Facility Address:
23 MILLS AVENUE
GREENVILLE, SC
ZIP 29605
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Facility Phone Number: 864 565-8646

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1881368454

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	42D2207996
LAB Type	Practitioner Other
Facility Name	GENESIS BIRTH AND WELLNESS
Street	23 MILLS AVENUE
City	GREENVILLE
State	SC
ZIP	29605
Phone	864 565-8646
CertificateType	3
CertificateEffectiveDate	1/4/2023
CertificateExpirationDate	1/3/2025
FacilityType	PPMP

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