22D1058744 CLIA NUMBER - DHA ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 22D1058744
  • Facility Name: DHA ENDOSCOPY LLC
  • Facility Address: 91 MONTVALE AVE, SUITE 103
    STONEHAM, MA
    ZIP 02180
  • Facility Phone: (781) 835-2111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSE MARCAL
  • NPI Number: 1730113325
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1058744
LAB Type Ambulatory Surgery Center
Facility Name DHA ENDOSCOPY LLC
Street 91 MONTVALE AVE, SUITE 103
City STONEHAM
State MA
ZIP 02180
Phone 7818352111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Ambulatory Surgery Center
Lab Director JOSE MARCAL

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This page was last updated on: 5/15/2026