22D2211154 CLIA NUMBER - HEARTSAFE LLC

Laboratory Demographics

  • CLIA Code: 22D2211154
  • Facility Name: HEARTSAFE LLC
  • Facility Address: 30 HIGH STREET
    NORTH ANDOVER, MA
    ZIP 01845
  • Facility Phone: 978 688-2206
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUSTALI M. DOHADWALA
  • NPI Number: 1245483106
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2211154
LAB Type Physician Office
Facility Name HEARTSAFE LLC
Street 30 HIGH STREET
City NORTH ANDOVER
State MA
ZIP 01845
Phone 978 688-2206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director MUSTALI M. DOHADWALA

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