22D0077943 CLIA NUMBER - NEWTON WELLESLEY SURGEONS

Laboratory Demographics

  • CLIA Code: 22D0077943
  • Facility Name: NEWTON WELLESLEY SURGEONS
  • Facility Address: 20 HOPE AVE STE 102
    WALTHAM, MA
    ZIP 02453
  • Facility Phone: 617 244-5355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNA M. SENTISSI
  • NPI Number: 1437295714
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 22D0077943
LAB Type Physician Office
Facility Name NEWTON WELLESLEY SURGEONS
Street 20 HOPE AVE STE 102
City WALTHAM
State MA
ZIP 02453
Phone 617 244-5355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOANNA M. SENTISSI

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