22D1085068 CLIA NUMBER - CBC MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 22D1085068
  • Facility Name: CBC MEDICAL CENTER LLC
  • Facility Address: 16 PINE STREET, UNIT 5
    LOWELL, MA
    ZIP 01851
  • Facility Phone: 978 454-9703
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ASHOK K. JOSHI
  • NPI Number: 1245323195
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1085068
LAB Type Mobile Laboratory
Facility Name CBC MEDICAL CENTER LLC
Street 16 PINE STREET, UNIT 5
City LOWELL
State MA
ZIP 01851
Phone 978 454-9703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Mobile Laboratory
Lab Director ASHOK K. JOSHI

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