22D0067204 CLIA NUMBER - NEW ENGLAND DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 22D0067204
  • Facility Name: NEW ENGLAND DERMATOLOGY PC
  • Facility Address: 57 UNION STREET SUITE 202
    WESTFIELD, MA
    ZIP 01085
  • Facility Phone: 413 562-6189
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID G. WARTMAN
  • NPI Number: 1750569968
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 22D0067204
LAB Type Physician Office
Facility Name NEW ENGLAND DERMATOLOGY PC
Street 57 UNION STREET SUITE 202
City WESTFIELD
State MA
ZIP 01085
Phone 413 562-6189
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAVID G. WARTMAN

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