22D0978513 CLIA NUMBER - LEO W LANE DO

Laboratory Demographics

  • CLIA Code: 22D0978513
  • Facility Name: LEO W LANE DO
  • Facility Address: 421 MERRIMACK STREET SUITE 201
    METHUEN, MA
    ZIP 01844
  • Facility Phone: 978 725-4822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEO W. LANE
  • NPI Number: 1770570426
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0978513
LAB Type Physician Office
Facility Name LEO W LANE DO
Street 421 MERRIMACK STREET SUITE 201
City METHUEN
State MA
ZIP 01844
Phone 978 725-4822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director LEO W. LANE

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