36D1048060 CLIA NUMBER - HOLZER CENTER FOR CANCER CARE

Laboratory Demographics

  • CLIA Code: 36D1048060
  • Facility Name: HOLZER CENTER FOR CANCER CARE
  • Facility Address: 170 JACKSON PIKE
    GALLIPOLIS, OH
    ZIP 45631
  • Facility Phone: 740 446-5171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHAWAJA K. HAMID
  • NPI Number: 1942256888
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D1048060
LAB Type Physician Office
Facility Name HOLZER CENTER FOR CANCER CARE
Street 170 JACKSON PIKE
City GALLIPOLIS
State OH
ZIP 45631
Phone 740 446-5171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director KHAWAJA K. HAMID

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