22D2054308 CLIA NUMBER - SALEM STATE UNIVERSITY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 22D2054308
  • Facility Name: SALEM STATE UNIVERSITY HEALTH SERVICES
  • Facility Address: 352 LAFAYETTE STREET ELLISON CAMPUS CENTER 107
    SALEM, MA
    ZIP 01970
  • Facility Phone: 978 542-6413
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: KALEI L. ENSMINGER
  • NPI Number: 1255671558
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2054308
LAB Type School/Student Health Service
Facility Name SALEM STATE UNIVERSITY HEALTH SERVICES
Street 352 LAFAYETTE STREET ELLISON CAMPUS CENTER 107
City SALEM
State MA
ZIP 01970
Phone 978 542-6413
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type School/Student Health Service
Lab Director KALEI L. ENSMINGER

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