22D0914368 CLIA NUMBER - CRAIG S GUSTAFSON MD LLC

Laboratory Demographics

  • CLIA Code: 22D0914368
  • Facility Name: CRAIG S GUSTAFSON MD LLC
  • Facility Address: 233 AYER RD STE 10
    HARVARD, MA
    ZIP 01451
  • Facility Phone: 978 772-0698
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRAIG S. GUSTAFSON
  • NPI Number: 1780660845
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0914368
LAB Type Physician Office
Facility Name CRAIG S GUSTAFSON MD LLC
Street 233 AYER RD STE 10
City HARVARD
State MA
ZIP 01451
Phone 978 772-0698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director CRAIG S. GUSTAFSON

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