22D0864902 CLIA NUMBER - CONCORD INTERNAL MEDICINE ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 22D0864902
  • Facility Name: CONCORD INTERNAL MEDICINE ASSOCIATES PC
  • Facility Address: 2284 MAIN ST
    CONCORD, MA
    ZIP 01742
  • Facility Phone: 978 369-5575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL D. D AMBROSIO, MD
  • NPI Number: 1255485058
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0864902
LAB Type Physician Office
Facility Name CONCORD INTERNAL MEDICINE ASSOCIATES PC
Street 2284 MAIN ST
City CONCORD
State MA
ZIP 01742
Phone 978 369-5575
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 PAUL D. D AMBROSIO, MD

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