22D2131340 CLIA NUMBER - CHARTER HEALTH, PC

Laboratory Demographics

  • CLIA Code: 22D2131340
  • Facility Name: CHARTER HEALTH, PC
  • Facility Address: 55 HIGHLAND AVENUE SUITE 304
    SALEM, MA
    ZIP 01970
  • Facility Phone: 978 354-4611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANS C. JEPPESEN
  • NPI Number: 1750824124
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2131340
LAB Type Physician Office
Facility Name CHARTER HEALTH, PC
Street 55 HIGHLAND AVENUE SUITE 304
City SALEM
State MA
ZIP 01970
Phone 978 354-4611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director HANS C. JEPPESEN

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