22D1095017 CLIA NUMBER - METROWEST EAR NOSE THROAT ASSOC

Laboratory Demographics

CLIA Number: 22D1095017

Facility Name: METROWEST EAR NOSE THROAT ASSOC

Facility Address:
61 LINCOLN ST, SUITE 207
FRAMINGHAM, MA
ZIP 01702
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Facility Phone Number: 508 875-6124

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689768616

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	22D1095017
LAB Type	Physician Office
Facility Name	METROWEST EAR NOSE THROAT ASSOC
Street	61 LINCOLN ST, SUITE 207
City	FRAMINGHAM
State	MA
ZIP	01702
Phone	508 875-6124
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

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