22D2032126 CLIA NUMBER - MIDDLESEX RECOVERY PC

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Laboratory Demographics

CLIA Number: 22D2032126

Facility Name: MIDDLESEX RECOVERY PC

Facility Address:
20 TOWER OFFICE PARK
WOBURN, MA
ZIP 01801
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Facility Phone Number: 781 305-3723

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1659727592

Taxonomy: 207QA0401X - Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.

CLIA Record

Field Name	Field Value
CLIA Number	22D2032126
LAB Type	Physician Office
Facility Name	MIDDLESEX RECOVERY PC
Street	20 TOWER OFFICE PARK
City	WOBURN
State	MA
ZIP	01801
Phone	781 305-3723
CertificateType	1
CertificateEffectiveDate	7/11/2022
CertificateExpirationDate	7/10/2024
FacilityType	Accreditation

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