22D0956382 CLIA NUMBER - ACTIVMED PRACTICES AND RESEARCH LLC

Laboratory Demographics

  • CLIA Code: 22D0956382
  • Facility Name: ACTIVMED PRACTICES AND RESEARCH LLC
  • Facility Address: 421 MERRIMACK STREET SUITE 203
    METHUEN, MA
    ZIP 01844
  • Facility Phone: 978 372-7252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC SHAY
  • NPI Number: 1073103644
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0956382
LAB Type Physician Office
Facility Name ACTIVMED PRACTICES AND RESEARCH LLC
Street 421 MERRIMACK STREET SUITE 203
City METHUEN
State MA
ZIP 01844
Phone 978 372-7252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director MARC SHAY

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