22D2119842 CLIA NUMBER - SHIELDS STURDY PET/CT

Laboratory Demographics

  • CLIA Code: 22D2119842
  • Facility Name: SHIELDS STURDY PET/CT
  • Facility Address: 211 PARK STREET
    ATTLEBORO, MA
    ZIP 02703
  • Facility Phone: 866 258-4738
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: STEPHEN T. SWERIDUK
  • NPI Number: 1992178495
  • Taxonomy: 261QR0208X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2119842
LAB Type Other - CLINIC
Facility Name SHIELDS STURDY PET/CT
Street 211 PARK STREET
City ATTLEBORO
State MA
ZIP 02703
Phone 866 258-4738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Other - CLINIC
Lab Director STEPHEN T. SWERIDUK

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