22D0068700 CLIA NUMBER - MERCY FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 22D0068700
  • Facility Name: MERCY FAMILY PRACTICE PC
  • Facility Address: 250 GREEN ST SUITE 200
    GARDNER, MA
    ZIP 01440
  • Facility Phone: 978 632-6445
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN L. WORDEN IV
  • NPI Number: 1295717106
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0068700
LAB Type Physician Office
Facility Name MERCY FAMILY PRACTICE PC
Street 250 GREEN ST SUITE 200
City GARDNER
State MA
ZIP 01440
Phone 978 632-6445
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 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director JOHN L. WORDEN IV

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