34D1049144 CLIA NUMBER - LEVINE CANCER INSTITUTE A FACILITY OF CAROLINAS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 34D1049144

Facility Name: LEVINE CANCER INSTITUTE A FACILITY OF CAROLINAS MEDICAL CENTER

Facility Address:
4525 CAMERON VALLEY PARKWAY, SUITE 3500
CHARLOTTE, NC
ZIP 28211
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Facility Phone Number: 980 442-9330

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1114293495

Taxonomy: 2086X0206X - Surgery
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

CLIA Record

Field Name	Field Value
CLIA Number	34D1049144
LAB Type	Physician Office
Facility Name	LEVINE CANCER INSTITUTE A FACILITY OF CAROLINAS MEDICAL CENTER
Street	4525 CAMERON VALLEY PARKWAY, SUITE 3500
City	CHARLOTTE
State	NC
ZIP	28211
Phone	980 442-9330
CertificateType	1
CertificateEffectiveDate	6/29/2022
CertificateExpirationDate	6/28/2024
FacilityType	Accreditation

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