22D2146515 CLIA NUMBER - BAYON MEDICAL GROUP, LLC DBA LOWELL PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 22D2146515
  • Facility Name: BAYON MEDICAL GROUP, LLC DBA LOWELL PRIMARY CARE CENTER
  • Facility Address: 1075 WESTFORD STREET STE 204
    LOWELL, MA
    ZIP 01851
  • Facility Phone: 978 455-7992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHHAN TOUCH
  • NPI Number: 1619488210
  • Taxonomy: 207QA0505X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2146515
LAB Type Physician Office
Facility Name BAYON MEDICAL GROUP, LLC DBA LOWELL PRIMARY CARE CENTER
Street 1075 WESTFORD STREET STE 204
City LOWELL
State MA
ZIP 01851
Phone 978 455-7992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director CHHAN TOUCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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