22D0074520 CLIA NUMBER - CHARLES J MCINNIS MD

Laboratory Demographics

  • CLIA Code: 22D0074520
  • Facility Name: CHARLES J MCINNIS MD
  • Facility Address: 266 MAIN ST STE 41 A
    MEDFIELD, MA
    ZIP 02052
  • Facility Phone: 781 326-1128
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES J. MCINNIS
  • NPI Number: 1346343969
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0074520
LAB Type Physician Office
Facility Name CHARLES J MCINNIS MD
Street 266 MAIN ST STE 41 A
City MEDFIELD
State MA
ZIP 02052
Phone 781 326-1128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director CHARLES J. MCINNIS

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