34D1007254 CLIA NUMBER - NOVANT HEALTH CANCER INSTITUTE - THOMASVILLE

Laboratory Demographics

CLIA Number: 34D1007254

Facility Name: NOVANT HEALTH CANCER INSTITUTE - THOMASVILLE

Facility Address:
1213 LEXINGTON AVENUE, SUITE B
THOMASVILLE, NC
ZIP 27360
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Facility Phone Number: 336 481-1950

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1013226307

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	34D1007254
LAB Type	Physician Office
Facility Name	NOVANT HEALTH CANCER INSTITUTE - THOMASVILLE
Street	1213 LEXINGTON AVENUE, SUITE B
City	THOMASVILLE
State	NC
ZIP	27360
Phone	336 481-1950
CertificateType	2
CertificateEffectiveDate	1/25/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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