22D0663933 CLIA NUMBER - URGENT CARE MEDICAL ASSOCIATES OF MASSACHUSETTS LLC

Laboratory Demographics

  • CLIA Code: 22D0663933
  • Facility Name: URGENT CARE MEDICAL ASSOCIATES OF MASSACHUSETTS LLC
  • Facility Address: 1340 BELMONT ST
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 860 650-3848
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JEANNIE M. KENKARE
  • NPI Number: 1154492700
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0663933
LAB Type Other - URGENT CARE
Facility Name URGENT CARE MEDICAL ASSOCIATES OF MASSACHUSETTS LLC
Street 1340 BELMONT ST
City BROCKTON
State MA
ZIP 02301
Phone 860 650-3848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Other - URGENT CARE
Lab Director JEANNIE M. KENKARE

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