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34D0980006 CLIA NUMBER - NOVANT HEALTH COASTAL OB/GYN & MIDWIFERY NEW HANOVER

Laboratory Demographics

CLIA Number: 34D0980006

Facility Name: NOVANT HEALTH COASTAL OB/GYN & MIDWIFERY NEW HANOVER

Facility Address:
2221 S 17TH ST
WILMINGTON, NC
ZIP 28401
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Facility Phone Number: 910 667-2718

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1053908509

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 34D0980006
LAB Type Physician Office
Facility Name NOVANT HEALTH COASTAL OB/GYN & MIDWIFERY NEW HANOVER
Street 2221 S 17TH ST
City WILMINGTON
State NC
ZIP 28401
Phone 910 667-2718
CertificateType 3
CertificateEffectiveDate 11/9/2022
CertificateExpirationDate 11/8/2024
FacilityType PPMP

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