22D2157307 CLIA NUMBER - GREATER BOSTON UROLOGY

Laboratory Demographics

CLIA Number: 22D2157307

Facility Name: GREATER BOSTON UROLOGY

Facility Address:
2 JAN SEBASTION DR
SANDWICH, MA
ZIP 02563
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Facility Phone Number: 508 540-7555

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962820894

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	22D2157307
LAB Type	Physician Office
Facility Name	GREATER BOSTON UROLOGY
Street	2 JAN SEBASTION DR
City	SANDWICH
State	MA
ZIP	02563
Phone	508 540-7555
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024