22D0069788 CLIA NUMBER - WORCESTER UROLOGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D0069788
  • Facility Name: WORCESTER UROLOGICAL ASSOCIATES
  • Facility Address: 25 OAK AVENUE
    WORCESTER, MA
    ZIP 01605
  • Facility Phone: 508 756-6293
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL R. WOLLIN
  • NPI Number: 1285634782
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 22D0069788
LAB Type Physician Office
Facility Name WORCESTER UROLOGICAL ASSOCIATES
Street 25 OAK AVENUE
City WORCESTER
State MA
ZIP 01605
Phone 508 756-6293
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director DR. MICHAEL R. WOLLIN

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