22D1013646 CLIA NUMBER - ATTLEBORO DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 22D1013646
  • Facility Name: ATTLEBORO DERMATOLOGY PC
  • Facility Address: 152 EMORY STREET UNIT #2
    ATTLEBORO, MA
    ZIP 02703
  • Facility Phone: 508 226-0400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW D. SAMEL
  • NPI Number: 1811965296
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D1013646
LAB Type Physician Office
Facility Name ATTLEBORO DERMATOLOGY PC
Street 152 EMORY STREET UNIT #2
City ATTLEBORO
State MA
ZIP 02703
Phone 508 226-0400
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 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director ANDREW D. SAMEL

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