22D0071428 CLIA NUMBER - RICHARD A DE AMICIS MD

Laboratory Demographics

  • CLIA Code: 22D0071428
  • Facility Name: RICHARD A DE AMICIS MD
  • Facility Address: 4 COURTHOUSE LANE #9
    CHELMSFORD, MA
    ZIP 01824
  • Facility Phone: 508 459-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD A. DEAMICIS
  • NPI Number: 1134199748
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 22D0071428
LAB Type Physician Office
Facility Name RICHARD A DE AMICIS MD
Street 4 COURTHOUSE LANE #9
City CHELMSFORD
State MA
ZIP 01824
Phone 508 459-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RICHARD A. DEAMICIS

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