22D2327101 CLIA NUMBER - INTEGRATED GASTROENTEROLOGY CONSULTANTS PC ENDOSCOPY SUITE

Laboratory Demographics

  • CLIA Code: 22D2327101
  • Facility Name: INTEGRATED GASTROENTEROLOGY CONSULTANTS PC ENDOSCOPY SUITE
  • Facility Address: 300 FEDERAL STREET SUITE 103B
    ANDOVER, MA
    ZIP 01810
  • Facility Phone: 978 482-4257
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD TILLSON
  • NPI Number: 1558150052
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2327101
LAB Type Physician Office
Facility Name INTEGRATED GASTROENTEROLOGY CONSULTANTS PC ENDOSCOPY SUITE
Street 300 FEDERAL STREET SUITE 103B
City ANDOVER
State MA
ZIP 01810
Phone 978 482-4257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director RICHARD TILLSON

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