22D1051670 CLIA NUMBER - ATLANTIC PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 22D1051670
  • Facility Name: ATLANTIC PRIMARY CARE
  • Facility Address: 135 WEBSTER ST
    HANOVER, MA
    ZIP 02339
  • Facility Phone: 781 871-5030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAHID KENNEDY
  • NPI Number: 1326015454
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1051670
LAB Type Physician Office
Facility Name ATLANTIC PRIMARY CARE
Street 135 WEBSTER ST
City HANOVER
State MA
ZIP 02339
Phone 781 871-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director NAHID KENNEDY

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