22D1102998 CLIA NUMBER - LIGHTHOUSE PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 22D1102998
  • Facility Name: LIGHTHOUSE PRIMARY CARE PC
  • Facility Address: 315 MAIN ST, STE 101
    NORTH READING, MA
    ZIP 01864
  • Facility Phone: 978 276-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH H. MCWHA
  • NPI Number: 1588290324
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1102998
LAB Type Physician Office
Facility Name LIGHTHOUSE PRIMARY CARE PC
Street 315 MAIN ST, STE 101
City NORTH READING
State MA
ZIP 01864
Phone 978 276-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director KENNETH H. MCWHA

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