22D2258241 CLIA NUMBER - NORTHEAST DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D2258241
  • Facility Name: NORTHEAST DERMATOLOGY ASSOCIATES
  • Facility Address: 62 BROWN ST, SUTE 304C
    HAVERHILL, MA
    ZIP 01830
  • Facility Phone: 217 503-0983
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID GREENSTEIN
  • NPI Number: 1487939054
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2258241
LAB Type Physician Office
Facility Name NORTHEAST DERMATOLOGY ASSOCIATES
Street 62 BROWN ST, SUTE 304C
City HAVERHILL
State MA
ZIP 01830
Phone 217 503-0983
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 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director DAVID GREENSTEIN

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