22D2238945 CLIA NUMBER - NORTH SHORE PHYSICIANS GROUP

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CLIA Record

Field Name Field Value
CLIA Number 22D2238945
LAB Type Physician Office
Facility Name NORTH SHORE PHYSICIANS GROUP
Street 104 ENDICOTT STREET
City DANVERS
State MA
ZIP 01923
Phone 978 882-6700
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 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Physician Office
Lab Director RYAN GOSSELIN

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