22D1074145 CLIA NUMBER - COMPASSUS-SOUTHERN MASSACHUSETTS

Laboratory Demographics

CLIA Number: 22D1074145

Facility Name: COMPASSUS-SOUTHERN MASSACHUSETTS

Facility Address:
790 TURNPIKE ST STE 202
NORTH ANDOVER, MA
ZIP 01845
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Facility Phone Number: 978 777-8222

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1780937649

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	22D1074145
LAB Type	Hospice
Facility Name	COMPASSUS-SOUTHERN MASSACHUSETTS
Street	790 TURNPIKE ST STE 202
City	NORTH ANDOVER
State	MA
ZIP	01845
Phone	978 777-8222
CertificateType	4
CertificateEffectiveDate	8/3/2022
CertificateExpirationDate	8/2/2024
FacilityType	Waiver

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