22D1091387 CLIA NUMBER - EMILIA PHILLIPS MD PC

Laboratory Demographics

  • CLIA Code: 22D1091387
  • Facility Name: EMILIA PHILLIPS MD PC
  • Facility Address: 900 CUMMINGS CTR STE 304T
    BEVERLY, MA
    ZIP 01915
  • Facility Phone: 978 998-3154
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILIA PHILLIPS
  • NPI Number: 1235195058
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 22D1091387
LAB Type Physician Office
Facility Name EMILIA PHILLIPS MD PC
Street 900 CUMMINGS CTR STE 304T
City BEVERLY
State MA
ZIP 01915
Phone 978 998-3154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director EMILIA PHILLIPS

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This page was last updated on: 3/20/2025