22D2288609 CLIA NUMBER - NORTH SHORE MEDICAL CENTER INC SALEM HOSPITAL COMMUNITY VAN

Laboratory Demographics

  • CLIA Code: 22D2288609
  • Facility Name: NORTH SHORE MEDICAL CENTER INC SALEM HOSPITAL COMMUNITY VAN
  • Facility Address: 81 HIGHLAND AVE
    SALEM, MA
    ZIP 01970
  • Facility Phone: 978 740-4673
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. PRIYA S. GUPTA
  • NPI Number: 1437104908
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D2288609
LAB Type Mobile Laboratory
Facility Name NORTH SHORE MEDICAL CENTER INC SALEM HOSPITAL COMMUNITY VAN
Street 81 HIGHLAND AVE
City SALEM
State MA
ZIP 01970
Phone 978 740-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Mobile Laboratory
Lab Director DR. PRIYA S. GUPTA

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