22D2270087 CLIA NUMBER - MARBLEHEAD COMMUNITY CHARTER PUBLIC (DISTRICT) (04640000)

Laboratory Demographics

  • CLIA Code: 22D2270087
  • Facility Name: MARBLEHEAD COMMUNITY CHARTER PUBLIC (DISTRICT) (04640000)
  • Facility Address: 17 LIME ST
    MARBLEHEAD, MA
    ZIP 01945
  • Facility Phone: 781 631-0777
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JOHN R. PURDY
  • NPI Number: 1053544817
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 22D2270087
LAB Type School/Student Health Service
Facility Name MARBLEHEAD COMMUNITY CHARTER PUBLIC (DISTRICT) (04640000)
Street 17 LIME ST
City MARBLEHEAD
State MA
ZIP 01945
Phone 781 631-0777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type School/Student Health Service
Lab Director JOHN R. PURDY

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