22D2055585 CLIA NUMBER - LAWRENCE HEALTH SOLUTIONS LLC

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Laboratory Demographics

CLIA Number: 22D2055585

Facility Name: LAWRENCE HEALTH SOLUTIONS LLC

Facility Address:
25 MARSTON STREET SUITE 105
LAWRENCE, MA
ZIP 01841
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Facility Phone Number: 978 258-1057

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407385834

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D2055585
LAB Type	Physician Office
Facility Name	LAWRENCE HEALTH SOLUTIONS LLC
Street	25 MARSTON STREET SUITE 105
City	LAWRENCE
State	MA
ZIP	01841
Phone	978 258-1057
CertificateType	4
CertificateEffectiveDate	3/14/2023
CertificateExpirationDate	3/13/2025
FacilityType	Waiver

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