22D0675761 CLIA NUMBER - I DHALIWAL MD

Laboratory Demographics

  • CLIA Code: 22D0675761
  • Facility Name: I DHALIWAL MD
  • Facility Address: 19 KENDRICK STREET
    WRENTHAM, MA
    ZIP 02093
  • Facility Phone: 508 384-1821
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IQUBAL S. DHALIWAL
  • NPI Number: 1699944942
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0675761
LAB Type Physician Office
Facility Name I DHALIWAL MD
Street 19 KENDRICK STREET
City WRENTHAM
State MA
ZIP 02093
Phone 508 384-1821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director IQUBAL S. DHALIWAL

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