CLIA lab
CLIA 22D2251115: Northeast Dermatology, PLLC
Gloucester, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2251115 belongs to Northeast Dermatology, PLLC in Gloucester, MA.
Certificate of Waiver, effective February 1, 2026, expires January 31, 2028.
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
- February 1, 2026
- Certificate expiration
- January 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 2022
- 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
- 22D2251115
- Lab name
- Northeast Dermatology, PLLC
- Address
- Cape Ann Medical Center, 1 Blackburn Drive, Gloucester, MA 01930
- Phone
- (217) 503-0983
- Fax
- (978) 798-6218
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gloucester, MA
- Addison Gilbert Primary CareCertificate of Waiver, Physician office22D2072980
- Beauport Ambulance Services IncCertificate of Waiver, Ambulance22D2332108
- Beth Israel Lahey Health Urgent Care GloucesterCertificate of Waiver, Physician office22D2141449
- Blood Gas Laboratory Addison GilbertCertificate of Accreditation, Hospital22D0716742
- Brian Orr Pediatrics LLCCertificate of Waiver, Physician office22D2075520
- Cape Ann PediatriciansCertificate of Waiver, Physician office22D0073060
- Crossover HealthCertificate of Waiver, Physician office22D2064327
- Day By Day Adult Care IncCertificate of Waiver, Other22D2109960
- Dept of Lab Serv Addison Gilbert HospCertificate of Accreditation, Hospital22D0650153
- Esdale Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office22D0986963
Related
Questions
What is the CLIA number for Northeast Dermatology, PLLC in Gloucester?
22D2251115, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northeast Dermatology, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2251115 expire?
The CMS file lists January 31, 2028 as the certificate expiration date; the certificate took effect February 1, 2026.