36D0718028 CLIA NUMBER - GABRAIL CANCER CENTER

Laboratory Demographics

CLIA Number: 36D0718028

Facility Name: GABRAIL CANCER CENTER

Facility Address:
4875 HIGBEE AVE NW
CANTON, OH
ZIP 44718
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Facility Phone Number: 330 492-3345

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1346219466

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	36D0718028
LAB Type	Physician Office
Facility Name	GABRAIL CANCER CENTER
Street	4875 HIGBEE AVE NW
City	CANTON
State	OH
ZIP	44718
Phone	330 492-3345
CertificateType	2
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Compliance

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