22D2257681 CLIA NUMBER - VMD PRIMARY PROVIDERS MASSACHUSETTS, PLLC

Laboratory Demographics

  • CLIA Code: 22D2257681
  • Facility Name: VMD PRIMARY PROVIDERS MASSACHUSETTS, PLLC
  • Facility Address: 215 BEACH STREET
    MALDEN, MA
    ZIP 02148
  • Facility Phone: 713 461-2915
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY G. ALLEN
  • NPI Number: 1235879370
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2257681
LAB Type Physician Office
Facility Name VMD PRIMARY PROVIDERS MASSACHUSETTS, PLLC
Street 215 BEACH STREET
City MALDEN
State MA
ZIP 02148
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 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director GREGORY G. ALLEN

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