22D2062195 CLIA NUMBER - HUGH M COOPER MD PC

Laboratory Demographics

  • CLIA Code: 22D2062195
  • Facility Name: HUGH M COOPER MD PC
  • Facility Address: 100 SOUTH STREET SUITE 200
    SOUTHBRIDGE, MA
    ZIP 01550
  • Facility Phone: 508 764-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUGH M. COOPER
  • NPI Number: 1942296561
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 22D2062195
LAB Type Physician Office
Facility Name HUGH M COOPER MD PC
Street 100 SOUTH STREET SUITE 200
City SOUTHBRIDGE
State MA
ZIP 01550
Phone 508 764-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director HUGH M. COOPER

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