22D2325561 CLIA NUMBER - LUNA PRIMARY CARE, INC

Laboratory Demographics

  • CLIA Code: 22D2325561
  • Facility Name: LUNA PRIMARY CARE, INC
  • Facility Address: 27 CONGRESS STREET, UNIT 1502
    SALEM, MA
    ZIP 01970
  • Facility Phone: 781 288-5862
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE A. AGUILAR
  • NPI Number: 1982412524
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2325561
LAB Type Physician Office
Facility Name LUNA PRIMARY CARE, INC
Street 27 CONGRESS STREET, UNIT 1502
City SALEM
State MA
ZIP 01970
Phone 781 288-5862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director JOSE A. AGUILAR

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