22D1095043 CLIA NUMBER - EAGLE MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D1095043
  • Facility Name: EAGLE MEDICINE ASSOCIATES
  • Facility Address: 25 MARSTON STREET
    LAWRENCE, MA
    ZIP 01841
  • Facility Phone: 978 725-5913
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLEKSANDR STUPNYTSKYI
  • NPI Number: 1588952550
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1095043
LAB Type Physician Office
Facility Name EAGLE MEDICINE ASSOCIATES
Street 25 MARSTON STREET
City LAWRENCE
State MA
ZIP 01841
Phone 978 725-5913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director OLEKSANDR STUPNYTSKYI

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This page was last updated on: 9/29/2025