23D0682375 CLIA NUMBER - CANCER CARE ASSOCIATES, P C

Laboratory Demographics

CLIA Number: 23D0682375

Facility Name: CANCER CARE ASSOCIATES, P C

Facility Address:
3577 W THIRTEEN MILE ROAD, SUITE 404
ROYAL OAK, MI
ZIP 48073
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Facility Phone Number: 248 551-6916

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1750431102

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	23D0682375
LAB Type	Physician Office
Facility Name	CANCER CARE ASSOCIATES, P C
Street	3577 W THIRTEEN MILE ROAD, SUITE 404
City	ROYAL OAK
State	MI
ZIP	48073
Phone	248 551-6916
CertificateType	2
CertificateEffectiveDate	6/22/2023
CertificateExpirationDate	6/21/2025
FacilityType	Compliance

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