22D2065465 CLIA NUMBER - NORTHSHORE PHYSICIANS ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 22D2065465
  • Facility Name: NORTHSHORE PHYSICIANS ASSOCIATES PC
  • Facility Address: 85 CONSTITUTION LN SUITE 1 G
    DANVERS, MA
    ZIP 01923
  • Facility Phone: 978 777-9090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARVIN SOMI
  • NPI Number: 1770929606
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2065465
LAB Type Physician Office
Facility Name NORTHSHORE PHYSICIANS ASSOCIATES PC
Street 85 CONSTITUTION LN SUITE 1 G
City DANVERS
State MA
ZIP 01923
Phone 978 777-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Physician Office
Lab Director MARVIN SOMI

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