Healther Providers Data Logo

22D1097315 CLIA NUMBER - LIFEGUARD MEDICAL GROUP

Laboratory Demographics

CLIA Number: 22D1097315

Facility Name: LIFEGUARD MEDICAL GROUP

Facility Address:
72 EASTVILLE AVENUE
OAK BLUFFS, MA
ZIP 02557
Get Directions

Facility Phone Number: 508 696-6863

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1750795084

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 22D1097315
LAB Type Physician Office
Facility Name LIFEGUARD MEDICAL GROUP
Street 72 EASTVILLE AVENUE
City OAK BLUFFS
State MA
ZIP 02557
Phone 508 696-6863
CertificateType 4
CertificateEffectiveDate 3/24/2023
CertificateExpirationDate 3/23/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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