22D1094605 CLIA NUMBER - NORTH SHORE ADHC

Laboratory Demographics

CLIA Number: 22D1094605

Facility Name: NORTH SHORE ADHC

Facility Address:
191 NORTH COMMONS ST
LYNN, MA
ZIP 01905
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Facility Phone Number: 781 595-4888

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1144470089

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D1094605
LAB Type	Other
Facility Name	NORTH SHORE ADHC
Street	191 NORTH COMMONS ST
City	LYNN
State	MA
ZIP	01905
Phone	781 595-4888
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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