22D0964631 CLIA NUMBER - LAWRENCE FAMILY DOCTORS LLC

Laboratory Demographics

  • CLIA Code: 22D0964631
  • Facility Name: LAWRENCE FAMILY DOCTORS LLC
  • Facility Address: 101 AMESBURY STREET SUITE 204
    LAWRENCE, MA
    ZIP 01840
  • Facility Phone: 978 688-1919
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOEL A. GORN
  • NPI Number: 1295853927
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 22D0964631
LAB Type Physician Office
Facility Name LAWRENCE FAMILY DOCTORS LLC
Street 101 AMESBURY STREET SUITE 204
City LAWRENCE
State MA
ZIP 01840
Phone 978 688-1919
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director JOEL A. GORN

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