22D0918163 CLIA NUMBER - HALLMARK HEALTH MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 22D0918163

Facility Name: HALLMARK HEALTH MEDICAL ASSOCIATES

Facility Address:
888 MAIN STREET SUITE 101
WAKEFIELD, MA
ZIP 01880
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Facility Phone Number: 781 660-4888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902150253

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 22D0918163
LAB Type Physician Office
Facility Name HALLMARK HEALTH MEDICAL ASSOCIATES
Street 888 MAIN STREET SUITE 101
City WAKEFIELD
State MA
ZIP 01880
Phone 781 660-4888
CertificateType 4
CertificateEffectiveDate 1/1/2023
CertificateExpirationDate 12/31/2024
FacilityType Waiver

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