CLIA lab
CLIA 22D2067394: Revere Medical Methuen Pediatrics
Methuen, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2067394 belongs to Revere Medical Methuen Pediatrics in Methuen, MA.
Certificate of Waiver, effective October 31, 2025, expires October 30, 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
- October 31, 2025
- Certificate expiration
- October 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 15, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 22D2067394
- Lab name
- Revere Medical Methuen Pediatrics
- Address
- 380R Merrimack Street Ste 3B, Methuen, MA 01844
- Phone
- (978) 687-6355
- Fax
- (978) 722-6846
Annual test volume the lab reported
- Waived tests
- 840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Revere Medical Methuen Pediatrics in Methuen?
22D2067394, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revere Medical Methuen Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2067394 expire?
The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.