22D0981340 CLIA NUMBER - MANET COMMUNITY HEALTH CENTERS, INC

Laboratory Demographics

CLIA Number: 22D0981340

Facility Name: MANET COMMUNITY HEALTH CENTERS, INC

Facility Address:
110 WEST SQUANTUM ST
NORTH QUINCY, MA
ZIP 02171
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Facility Phone Number: 617 404-4113

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1336711456

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D0981340
LAB Type	Federally Qualified Health Center
Facility Name	MANET COMMUNITY HEALTH CENTERS, INC
Street	110 WEST SQUANTUM ST
City	NORTH QUINCY
State	MA
ZIP	02171
Phone	617 404-4113
CertificateType	3
CertificateEffectiveDate	12/22/2022
CertificateExpirationDate	12/21/2024
FacilityType	PPMP

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