22D0074096 CLIA NUMBER - MEDFIELD INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 22D0074096
  • Facility Name: MEDFIELD INTERNAL MEDICINE
  • Facility Address: 266 MAIN STREET BLDG 1 UNIT 4
    MEDFIELD, MA
    ZIP 02052
  • Facility Phone: 508 359-8141
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: RUSSELL E. KLING
  • NPI Number: 1225005465
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0074096
LAB Type Physician Office
Facility Name MEDFIELD INTERNAL MEDICINE
Street 266 MAIN STREET BLDG 1 UNIT 4
City MEDFIELD
State MA
ZIP 02052
Phone 508 359-8141
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director RUSSELL E. KLING

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