22D0960466 CLIA NUMBER - MICHAEL J GROSSMAN MD

Laboratory Demographics

  • CLIA Code: 22D0960466
  • Facility Name: MICHAEL J GROSSMAN MD
  • Facility Address: 565 TURNPIKE ST SUITE 74
    NORTH ANDOVER, MA
    ZIP 01845
  • Facility Phone: 978 682-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. GROSSMAN MD
  • NPI Number: 1831188218
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 22D0960466
LAB Type Physician Office
Facility Name MICHAEL J GROSSMAN MD
Street 565 TURNPIKE ST SUITE 74
City NORTH ANDOVER
State MA
ZIP 01845
Phone 978 682-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Physician Office
Lab Director MICHAEL J. GROSSMAN MD

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