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34D2081125 CLIA NUMBER - CANNON SQUARE FAMILY CARE

Laboratory Demographics

CLIA Number: 34D2081125

Facility Name: CANNON SQUARE FAMILY CARE

Facility Address:
121 WEST B STREET
NEWTON, NC
ZIP 28658
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Facility Phone Number: 828 291-3320

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1003221532

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 34D2081125
LAB Type Physician Office
Facility Name CANNON SQUARE FAMILY CARE
Street 121 WEST B STREET
City NEWTON
State NC
ZIP 28658
Phone 828 291-3320
CertificateType 4
CertificateEffectiveDate 7/21/2022
CertificateExpirationDate 7/20/2024
FacilityType Waiver

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