22D0068808 CLIA NUMBER - WILLIAM E BRODKIN MD

Laboratory Demographics

  • CLIA Code: 22D0068808
  • Facility Name: WILLIAM E BRODKIN MD
  • Facility Address: LEOMINSTER MED BLDG , 50 MEMORIAL DRIVE, STE 208
    LEOMINSTER, MA
    ZIP 01453
  • Facility Phone: 508 537-6639
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM E. BRODKIN
  • NPI Number: 1528352812
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0068808
LAB Type Physician Office
Facility Name WILLIAM E BRODKIN MD
Street LEOMINSTER MED BLDG , 50 MEMORIAL DRIVE, STE 208
City LEOMINSTER
State MA
ZIP 01453
Phone 508 537-6639
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 WILLIAM E. BRODKIN

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