22D1035353 CLIA NUMBER - WILLOW STREET FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 22D1035353

Facility Name: WILLOW STREET FAMILY PRACTICE

Facility Address:
42 ASBURY ST
SOUTH HAMILTON, MA
ZIP 01982
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Facility Phone Number: 978 468-4101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619034410

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	22D1035353
LAB Type	Physician Office
Facility Name	WILLOW STREET FAMILY PRACTICE
Street	42 ASBURY ST
City	SOUTH HAMILTON
State	MA
ZIP	01982
Phone	978 468-4101
CertificateType	4
CertificateEffectiveDate	12/30/2022
CertificateExpirationDate	12/29/2024
FacilityType	Waiver

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