22D2079677 CLIA NUMBER - PERSONAL CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 22D2079677
  • Facility Name: PERSONAL CARE PHYSICIANS
  • Facility Address: 255 LOW ST
    NEWBURYPORT, MA
    ZIP 01950
  • Facility Phone: 978 225-0378
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK SU
  • NPI Number: 1942624796
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2079677
LAB Type Physician Office
Facility Name PERSONAL CARE PHYSICIANS
Street 255 LOW ST
City NEWBURYPORT
State MA
ZIP 01950
Phone 978 225-0378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director DR. MARK SU

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