22D2296040 CLIA NUMBER - CVS CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 22D2296040
  • Facility Name: CVS CLINIC, PLLC
  • Facility Address: 413 PARADISE ROAD, SUITE B
    SWAMPSCOTT, MA
    ZIP 01907
  • Facility Phone: 978 922-2003
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DAVID FAIRCHILD
  • NPI Number: 1306623426
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 22D2296040
LAB Type Community Clinic
Facility Name CVS CLINIC, PLLC
Street 413 PARADISE ROAD, SUITE B
City SWAMPSCOTT
State MA
ZIP 01907
Phone 978 922-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Community Clinic
Lab Director DAVID FAIRCHILD

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