22D2133931 CLIA NUMBER - NORTHEAST UROLOGIC SURGERY PC

Laboratory Demographics

  • CLIA Code: 22D2133931
  • Facility Name: NORTHEAST UROLOGIC SURGERY PC
  • Facility Address: 565 TURNPIKE ST STE 86/87
    NORTH ANDOVER, MA
    ZIP 01845
  • Facility Phone: 978 686-3877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER P. IP
  • NPI Number: 1326708264
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 22D2133931
LAB Type Physician Office
Facility Name NORTHEAST UROLOGIC SURGERY PC
Street 565 TURNPIKE ST STE 86/87
City NORTH ANDOVER
State MA
ZIP 01845
Phone 978 686-3877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director CHRISTOPHER P. IP

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