22D1085126 CLIA NUMBER - DRACUT FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 22D1085126
  • Facility Name: DRACUT FAMILY MEDICINE
  • Facility Address: 1595 BRIDGE STREET SUITE 3
    DRACUT, MA
    ZIP 01826
  • Facility Phone: 978 328-5270
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH M. DULAC
  • NPI Number: 1508340654
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D1085126
LAB Type Physician Office
Facility Name DRACUT FAMILY MEDICINE
Street 1595 BRIDGE STREET SUITE 3
City DRACUT
State MA
ZIP 01826
Phone 978 328-5270
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 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director JOSEPH M. DULAC

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