22D0078942 CLIA NUMBER - COMMUNITY INTERNIST ASSOC

Laboratory Demographics

  • CLIA Code: 22D0078942
  • Facility Name: COMMUNITY INTERNIST ASSOC
  • Facility Address: 92 MONTVALE AVENUE SUITE 2200
    STONEHAM, MA
    ZIP 02180
  • Facility Phone: 781 279-2030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KANU O. PATEL
  • NPI Number: 1548307598
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0078942
LAB Type Physician Office
Facility Name COMMUNITY INTERNIST ASSOC
Street 92 MONTVALE AVENUE SUITE 2200
City STONEHAM
State MA
ZIP 02180
Phone 781 279-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KANU O. PATEL

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