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10D2165302 CLIA NUMBER - NCHMD INC

Laboratory Demographics

CLIA Number: 10D2165302

Facility Name: NCHMD INC

Facility Address:
311 9TH STREET N SUITE 310
NAPLES, FL
ZIP 34102
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Facility Phone Number: 239 624-8167

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1467556597

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 10D2165302
LAB Type Physician Office
Facility Name NCHMD INC
Street 311 9TH STREET N SUITE 310
City NAPLES
State FL
ZIP 34102
Phone 239 624-8167
CertificateType 4
CertificateEffectiveDate 4/24/2023
CertificateExpirationDate 4/23/2025
FacilityType Waiver

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