22D2124935 CLIA NUMBER - MILL CITY MEDICAL

Laboratory Demographics

  • CLIA Code: 22D2124935
  • Facility Name: MILL CITY MEDICAL
  • Facility Address: 595 PAWTUCKET BLVD 2ND FL
    LOWELL, MA
    ZIP 01854
  • Facility Phone: 978 955-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. SAVORY
  • NPI Number: 1417797440
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 22D2124935
LAB Type Physician Office
Facility Name MILL CITY MEDICAL
Street 595 PAWTUCKET BLVD 2ND FL
City LOWELL
State MA
ZIP 01854
Phone 978 955-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director MATTHEW D. SAVORY

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