22D2025745 CLIA NUMBER - PRIDESTAR EMS

Laboratory Demographics

  • CLIA Code: 22D2025745
  • Facility Name: PRIDESTAR EMS
  • Facility Address: 229 STEDMAN ST
    LOWELL, MA
    ZIP 01851
  • Facility Phone: 978 441-0911
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID B. GREEN
  • NPI Number: 1134162977
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D2025745
LAB Type Ambulance
Facility Name PRIDESTAR EMS
Street 229 STEDMAN ST
City LOWELL
State MA
ZIP 01851
Phone 978 441-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Ambulance
Lab Director DAVID B. GREEN

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