22D1070349 CLIA NUMBER - EASTERN MASSACHUSETTS SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 22D1070349

Facility Name: EASTERN MASSACHUSETTS SURGERY CENTER LLC

Facility Address:
100 MORSE STREET
NORWOOD, MA
ZIP 02062
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Facility Phone Number: 781 255-0362

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1245436823

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D1070349
LAB Type	Ambulatory Surgery Center
Facility Name	EASTERN MASSACHUSETTS SURGERY CENTER LLC
Street	100 MORSE STREET
City	NORWOOD
State	MA
ZIP	02062
Phone	781 255-0362
CertificateType	4
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	6/26/2025
FacilityType	Waiver

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