34D2107571 CLIA NUMBER - LEVINE CANCER INSITUTE - A FACILITY OF CAROLINAS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 34D2107571

Facility Name: LEVINE CANCER INSITUTE - A FACILITY OF CAROLINAS MEDICAL CENTER

Facility Address:
1021 MOREHEAD MEDICAL DRIVE ATTENTION JAMIE CHEVRIER
CHARLOTTE, NC
ZIP 28204
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Facility Phone Number: 980 442-5140

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1508135799

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 34D2107571
LAB Type Ancillary Testing Site in Health Care Center
Facility Name LEVINE CANCER INSITUTE - A FACILITY OF CAROLINAS MEDICAL CENTER
Street 1021 MOREHEAD MEDICAL DRIVE ATTENTION JAMIE CHEVRIER
City CHARLOTTE
State NC
ZIP 28204
Phone 980 442-5140
CertificateType 1
CertificateEffectiveDate 5/8/2023
CertificateExpirationDate 5/7/2025
FacilityType Accreditation

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