22D2299337 CLIA NUMBER - MASS MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 22D2299337
  • Facility Name: MASS MEDICAL GROUP LLC
  • Facility Address: 200 CENTRAL STREET, SUITE 2
    LOWELL, MA
    ZIP 01852
  • Facility Phone: 978 446-7982
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAMID DANESH
  • NPI Number: 1205215373
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2299337
LAB Type Physician Office
Facility Name MASS MEDICAL GROUP LLC
Street 200 CENTRAL STREET, SUITE 2
City LOWELL
State MA
ZIP 01852
Phone 978 446-7982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director HAMID DANESH

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