22D1098600 CLIA NUMBER - STONY BROOK PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 22D1098600
  • Facility Name: STONY BROOK PRIMARY CARE
  • Facility Address: 20 RESEARCH PLACE SUITE 100
    NORTH CHELMSFORD, MA
    ZIP 01863
  • Facility Phone: 978 446-9850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA WIESELQUIST
  • NPI Number: 1790945160
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D1098600
LAB Type Physician Office
Facility Name STONY BROOK PRIMARY CARE
Street 20 RESEARCH PLACE SUITE 100
City NORTH CHELMSFORD
State MA
ZIP 01863
Phone 978 446-9850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director JESSICA WIESELQUIST

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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