22D0685806 CLIA NUMBER - FAMILY CARE CENTER STONEHAM

Laboratory Demographics

  • CLIA Code: 22D0685806
  • Facility Name: FAMILY CARE CENTER STONEHAM
  • Facility Address: 88 MONTVALE AVENUE STE 1
    STONEHAM, MA
    ZIP 02180
  • Facility Phone: 781 662-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC H. PIFKO
  • NPI Number: 1750363347
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D0685806
LAB Type Physician Office
Facility Name FAMILY CARE CENTER STONEHAM
Street 88 MONTVALE AVENUE STE 1
City STONEHAM
State MA
ZIP 02180
Phone 781 662-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director MARC H. PIFKO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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