30D0942704 CLIA NUMBER - MAURICE B COHEN MD PC NORTHEAST GASTROENTEROLOGY ASSOC, PC

Laboratory Demographics

  • CLIA Code: 30D0942704
  • Facility Name: MAURICE B COHEN MD PC NORTHEAST GASTROENTEROLOGY ASSOC, PC
  • Facility Address: 52 STILES ROAD,SUITE 110
    SALEM, NH
    ZIP 03079
  • Facility Phone: 603 898-5082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAURICE B. COHEN MD
  • NPI Number: 1851482277
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D0942704
LAB Type Physician Office
Facility Name MAURICE B COHEN MD PC NORTHEAST GASTROENTEROLOGY ASSOC, PC
Street 52 STILES ROAD,SUITE 110
City SALEM
State NH
ZIP 03079
Phone 603 898-5082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director MAURICE B. COHEN MD

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