22D0071425 CLIA NUMBER - MICHAEL T ROSENBAUM MD

Laboratory Demographics

  • CLIA Code: 22D0071425
  • Facility Name: MICHAEL T ROSENBAUM MD
  • Facility Address: 6 COURTHOUSE LANE
    CHELMSFORD, MA
    ZIP 01824
  • Facility Phone: 508 934-9294
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL T. ROSENBAUM
  • NPI Number: 1477611127
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D0071425
LAB Type Physician Office
Facility Name MICHAEL T ROSENBAUM MD
Street 6 COURTHOUSE LANE
City CHELMSFORD
State MA
ZIP 01824
Phone 508 934-9294
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 MICHAEL T. ROSENBAUM

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