22D2240098 CLIA NUMBER - VMD PRIMARY PROVIDERS MASSACHUSETTS, PLLC

Laboratory Demographics

  • CLIA Code: 22D2240098
  • Facility Name: VMD PRIMARY PROVIDERS MASSACHUSETTS, PLLC
  • Facility Address: 14 JACKSON STREET
    METHUEN, MA
    ZIP 01844
  • Facility Phone: 713 461-2915
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY G. ALLEN
  • NPI Number: 1235893686
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2240098
LAB Type Physician Office
Facility Name VMD PRIMARY PROVIDERS MASSACHUSETTS, PLLC
Street 14 JACKSON STREET
City METHUEN
State MA
ZIP 01844
Phone 713 461-2915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Physician Office
Lab Director GREGORY G. ALLEN

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