34D2217534 CLIA NUMBER - NOVANT HEALTH MATERNAL - FETAL MEDICINE

Laboratory Demographics

CLIA Number: 34D2217534

Facility Name: NOVANT HEALTH MATERNAL - FETAL MEDICINE

Facility Address:
1806 HAWTHORNE ROAD SUITE 200
WINSTON SALEM, NC
ZIP 27103
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Facility Phone Number: 336 718-3170

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336799527

Taxonomy: 207VM0101X - Obstetrics & Gynecology
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

CLIA Record

Field Name	Field Value
CLIA Number	34D2217534
LAB Type	Physician Office
Facility Name	NOVANT HEALTH MATERNAL - FETAL MEDICINE
Street	1806 HAWTHORNE ROAD SUITE 200
City	WINSTON SALEM
State	NC
ZIP	27103
Phone	336 718-3170
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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