22D2319898 CLIA NUMBER - COMPREHENSIVE PRIMARY ALLCARE INC

Laboratory Demographics

  • CLIA Code: 22D2319898
  • Facility Name: COMPREHENSIVE PRIMARY ALLCARE INC
  • Facility Address: 49 BLANCHARD STREET SUITE 205-7
    LAWRENCE, MA
    ZIP 01843
  • Facility Phone: 781 583-1355
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MONICAH KAGUNGO
  • NPI Number: 1578312344
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 22D2319898
LAB Type Practitioner Other
Facility Name COMPREHENSIVE PRIMARY ALLCARE INC
Street 49 BLANCHARD STREET SUITE 205-7
City LAWRENCE
State MA
ZIP 01843
Phone 781 583-1355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Practitioner Other
Lab Director MONICAH KAGUNGO

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