22D2021245 CLIA NUMBER - ALBERT FOX FACIAL PLASTIC SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 22D2021245
  • Facility Name: ALBERT FOX FACIAL PLASTIC SURGERY CENTER, LLC
  • Facility Address: 299 FAUNCE CORNER RD, 1ST FLOOR
    NORTH DARTMOUTH, MA
    ZIP 02747
  • Facility Phone: 508 207-4455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALBERT J. FOX
  • NPI Number: 1083989057
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2021245
LAB Type Physician Office
Facility Name ALBERT FOX FACIAL PLASTIC SURGERY CENTER, LLC
Street 299 FAUNCE CORNER RD, 1ST FLOOR
City NORTH DARTMOUTH
State MA
ZIP 02747
Phone 508 207-4455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director DR. ALBERT J. FOX

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