22D0705329 CLIA NUMBER - GREATER BOSTON UROLOGY, LLC

Laboratory Demographics

CLIA Number: 22D0705329

Facility Name: GREATER BOSTON UROLOGY, LLC

Facility Address:
910 WASHINGTON ST
DEDHAM, MA
ZIP 02026
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Facility Phone Number: 781 762-0471

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1861795189

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	22D0705329
LAB Type	Physician Office
Facility Name	GREATER BOSTON UROLOGY, LLC
Street	910 WASHINGTON ST
City	DEDHAM
State	MA
ZIP	02026
Phone	781 762-0471
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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