34D2112654 CLIA NUMBER - NOVANT HEALTH PRIMARY CARE GILEAD

Laboratory Demographics

CLIA Number: 34D2112654

Facility Name: NOVANT HEALTH PRIMARY CARE GILEAD

Facility Address:
9930 KINCEY AVENUE, SUITE 210
HUNTERSVILLE, NC
ZIP 28078
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Facility Phone Number: 704 316-5560

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992166771

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D2112654
LAB Type	Physician Office
Facility Name	NOVANT HEALTH PRIMARY CARE GILEAD
Street	9930 KINCEY AVENUE, SUITE 210
City	HUNTERSVILLE
State	NC
ZIP	28078
Phone	704 316-5560
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

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