30D0724326 CLIA NUMBER - STEWARD MEDICAL GROUP, INC SALEM OBGYN

Laboratory Demographics

CLIA Number: 30D0724326

Facility Name: STEWARD MEDICAL GROUP, INC SALEM OBGYN

Facility Address:
18 KEEWAYDIN DR
SALEM, NH
ZIP 03079
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Facility Phone Number: 603 898-4269

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871551705

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	30D0724326
LAB Type	Physician Office
Facility Name	STEWARD MEDICAL GROUP, INC SALEM OBGYN
Street	18 KEEWAYDIN DR
City	SALEM
State	NH
ZIP	03079
Phone	603 898-4269
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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