22D2083480 CLIA NUMBER - HAVERHILL CBOC

Laboratory Demographics

  • CLIA Code: 22D2083480
  • Facility Name: HAVERHILL CBOC
  • Facility Address: 209 SUMMER STREET
    HAVERHILL, MA
    ZIP 01830
  • Facility Phone: (978) 372-5207
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: SHYAM PRAJAPATI
  • NPI Number: 1003228842
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2083480
LAB Type Community Clinic
Facility Name HAVERHILL CBOC
Street 209 SUMMER STREET
City HAVERHILL
State MA
ZIP 01830
Phone 9783725207
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/7/2014
Certificate Expiration Date 9/30/2026
Facility Type Community Clinic
Lab Director SHYAM PRAJAPATI

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This page was last updated on: 9/8/2026