34D2083046 CLIA NUMBER - NOVANT HEALTH GLEN MEADE OB/GYN AUTUMN HALL

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Laboratory Demographics

CLIA Number: 34D2083046

Facility Name: NOVANT HEALTH GLEN MEADE OB/GYN AUTUMN HALL

Facility Address:
510 CAROLINA BAY DRIVE
WILMINGTON, NC
ZIP 28403
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Facility Phone Number: 910 763-9833

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1801474705

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	34D2083046
LAB Type	Physician Office
Facility Name	NOVANT HEALTH GLEN MEADE OB/GYN AUTUMN HALL
Street	510 CAROLINA BAY DRIVE
City	WILMINGTON
State	NC
ZIP	28403
Phone	910 763-9833
CertificateType	3
CertificateEffectiveDate	8/27/2022
CertificateExpirationDate	8/26/2024
FacilityType	PPMP

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