22D2002977 CLIA NUMBER - EATON MEDICAL ASSOCIATES

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Laboratory Demographics

CLIA Number: 22D2002977

Facility Name: EATON MEDICAL ASSOCIATES

Facility Address:
87 JACKSON STREET
METHUEN, MA
ZIP 01844
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Facility Phone Number: 978 208-4756

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699914325

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	22D2002977
LAB Type	Physician Office
Facility Name	EATON MEDICAL ASSOCIATES
Street	87 JACKSON STREET
City	METHUEN
State	MA
ZIP	01844
Phone	978 208-4756
CertificateType	4
CertificateEffectiveDate	12/4/2022
CertificateExpirationDate	12/3/2024
FacilityType	Waiver

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