CLIA lab
CLIA 22D0671021: Premise Health of Massachusetts Medical PC
Andover, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D0671021 belongs to Premise Health of Massachusetts Medical PC in Andover, MA.
Certificate of Waiver, effective March 26, 2025, expires March 25, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 26, 2025
- Certificate expiration
- March 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 22D0671021
- Lab name
- Premise Health of Massachusetts Medical PC
- Address
- 350 Lowell Street, Andover, MA 01810
- Phone
- (978) 470-5641
- Fax
- (978) 470-6272
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Andover, MA
- American Training IncCertificate of Waiver, Other22D2014270
- Andover Eye (Institute)Certificate of Waiver, Other22D2181121
- Andover Eye (Practice)Certificate of Waiver, Physician office22D1028383
- Andover Fire RescueCertificate of Waiver, Ambulance22D2144173
- Andover Manor Rehab and Nursing LLCCertificate of Waiver, Skilled nursing or nursing facility22D0071277
- Andover Obstetrics & Gynecological Associates PCCertificate of Compliance, Physician office22D0071283
- Andover Public SchoolsCertificate of Waiver, School or student health service22D2276462
- Atria Senior Living - Marland PlaceCertificate of Waiver, Assisted living facility22D2207637
- Beth Israel Deaconess Health Care-Andover PrimaryCertificate of Waiver, Physician office22D2109830
- Beyond Healthcare Agency LLCCertificate of Waiver, Home health agency22D2024792
Related
Questions
What is the CLIA number for Premise Health of Massachusetts Medical PC in Andover?
22D0671021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Massachusetts Medical PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D0671021 expire?
The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.