22D1034859 CLIA NUMBER - CLIPPER CARDIOVASCULAR ASSOCIATES

Laboratory Demographics

CLIA Number: 22D1034859

Facility Name: CLIPPER CARDIOVASCULAR ASSOCIATES

Facility Address:
112 A PARKER STREET
NEWBURYPORT, MA
ZIP 01950
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Facility Phone Number: 978 462-1110

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174512727

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	22D1034859
LAB Type	Physician Office
Facility Name	CLIPPER CARDIOVASCULAR ASSOCIATES
Street	112 A PARKER STREET
City	NEWBURYPORT
State	MA
ZIP	01950
Phone	978 462-1110
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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