22D0080433 CLIA NUMBER - GREATER BOSTON UROLOGY, LLC

Laboratory Demographics

CLIA Number: 22D0080433

Facility Name: GREATER BOSTON UROLOGY, LLC

Facility Address:
31 ROCHE BROS WAY STE 100
NORTH EASTON, MA
ZIP 02356
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Facility Phone Number: 508 238-0800

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1477855237

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	22D0080433
LAB Type	Physician Office
Facility Name	GREATER BOSTON UROLOGY, LLC
Street	31 ROCHE BROS WAY STE 100
City	NORTH EASTON
State	MA
ZIP	02356
Phone	508 238-0800
CertificateType	3
CertificateEffectiveDate	4/7/2023
CertificateExpirationDate	4/6/2025
FacilityType	PPMP

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