22D0712946 CLIA NUMBER - NANA G MCMAHON MD

Laboratory Demographics

  • CLIA Code: 22D0712946
  • Facility Name: NANA G MCMAHON MD
  • Facility Address: JOHN CUMMING BLDG SUITE 470
    WEST CONCORD, MA
    ZIP 01742
  • Facility Phone: 978 369-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANA G. MCMAHON MD
  • NPI Number: 1790746196
  • Taxonomy: 2080N0001X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0712946
LAB Type Physician Office
Facility Name NANA G MCMAHON MD
Street JOHN CUMMING BLDG SUITE 470
City WEST CONCORD
State MA
ZIP 01742
Phone 978 369-5050
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 NANA G. MCMAHON MD

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