22D0914833 CLIA NUMBER - GASTROINTESTINAL SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 22D0914833
  • Facility Name: GASTROINTESTINAL SPECIALISTS, LLC
  • Facility Address: 189 QUINCY STREET
    BROCKTON, MA
    ZIP 02302
  • Facility Phone: 508 588-6700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KURT A. SLYE
  • NPI Number: 1316223894
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0914833
LAB Type Physician Office
Facility Name GASTROINTESTINAL SPECIALISTS, LLC
Street 189 QUINCY STREET
City BROCKTON
State MA
ZIP 02302
Phone 508 588-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director KURT A. SLYE

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