34D2275347 CLIA NUMBER - NOVANT HEALTH CANCER INSTITUTE - WILKESBORO

Laboratory Demographics

  • CLIA Code: 34D2275347
  • Facility Name: NOVANT HEALTH CANCER INSTITUTE - WILKESBORO
  • Facility Address: 1919 WEST PARK DRIVE
    N WILKESBORO, NC
    ZIP 28659
  • Facility Phone: 336 903-6362
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM BAKER
  • NPI Number: 1538478813
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2275347
LAB Type Physician Office
Facility Name NOVANT HEALTH CANCER INSTITUTE - WILKESBORO
Street 1919 WEST PARK DRIVE
City N WILKESBORO
State NC
ZIP 28659
Phone 336 903-6362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director DR. WILLIAM BAKER

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This page was last updated on: 9/29/2025