22D2062540 CLIA NUMBER - SIGNATURE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 22D2062540
  • Facility Name: SIGNATURE MEDICAL GROUP
  • Facility Address: 31 ROCHE BROTHERS WAY SUITE 130
    EASTON, MA
    ZIP 02356
  • Facility Phone: 508 941-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO PEIXOTO
  • NPI Number: 1689695405
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 22D2062540
LAB Type Physician Office
Facility Name SIGNATURE MEDICAL GROUP
Street 31 ROCHE BROTHERS WAY SUITE 130
City EASTON
State MA
ZIP 02356
Phone 508 941-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director EDUARDO PEIXOTO

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