22D0996283 CLIA NUMBER - NEW ENGLAND DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 22D0996283
  • Facility Name: NEW ENGLAND DERMATOLOGY PC
  • Facility Address: 21 DWIGHT ROAD SUITE 202
    LONGMEADOW, MA
    ZIP 01106
  • Facility Phone: 413 565-5020
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK A. BLUMBERG
  • NPI Number: 1679811962
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 22D0996283
LAB Type Physician Office
Facility Name NEW ENGLAND DERMATOLOGY PC
Street 21 DWIGHT ROAD SUITE 202
City LONGMEADOW
State MA
ZIP 01106
Phone 413 565-5020
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 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director MARK A. BLUMBERG

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