22D2304408 CLIA NUMBER - RIVERSIDE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 22D2304408
  • Facility Name: RIVERSIDE MEDICAL GROUP
  • Facility Address: 33 BARTLETT ST STE 504
    LOWELL, MA
    ZIP 01852
  • Facility Phone: 978 452-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TUSHAR PATEL
  • NPI Number: 1508821646
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2304408
LAB Type Physician Office
Facility Name RIVERSIDE MEDICAL GROUP
Street 33 BARTLETT ST STE 504
City LOWELL
State MA
ZIP 01852
Phone 978 452-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director DR. TUSHAR PATEL

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