22D1097698 CLIA NUMBER - NORTHEAST REHABILITATION HOSPITAL PAIN CLINIC AT RIVERWALK

Laboratory Demographics

  • CLIA Code: 22D1097698
  • Facility Name: NORTHEAST REHABILITATION HOSPITAL PAIN CLINIC AT RIVERWALK
  • Facility Address: 354 MERRIMACK STREET
    LAWRENCE, MA
    ZIP 01843
  • Facility Phone: 978 688-5750
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY P. YOUNG
  • NPI Number: 1669844163
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D1097698
LAB Type Other
Facility Name NORTHEAST REHABILITATION HOSPITAL PAIN CLINIC AT RIVERWALK
Street 354 MERRIMACK STREET
City LAWRENCE
State MA
ZIP 01843
Phone 978 688-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Other
Lab Director TIMOTHY P. YOUNG

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