22D2025626 CLIA NUMBER - TRICIA VORDERSTRASSE MD, PC

Laboratory Demographics

  • CLIA Code: 22D2025626
  • Facility Name: TRICIA VORDERSTRASSE MD, PC
  • Facility Address: 725 TIMPANY BLVD
    GARDNER, MA
    ZIP 01440
  • Facility Phone: 978 632-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRICIA VORDERSTRASSE
  • NPI Number: 1619953247
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2025626
LAB Type Physician Office
Facility Name TRICIA VORDERSTRASSE MD, PC
Street 725 TIMPANY BLVD
City GARDNER
State MA
ZIP 01440
Phone 978 632-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director TRICIA VORDERSTRASSE

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