22D0694926 CLIA NUMBER - RELIANT MEDICAL GROUP NEPONSET ST DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 22D0694926
  • Facility Name: RELIANT MEDICAL GROUP NEPONSET ST DERMATOLOGY
  • Facility Address: 5 NEPONSET ST
    WORCESTER, MA
    ZIP 01606
  • Facility Phone: 508 460-3263
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DANIEL D. KOELLIKER
  • NPI Number: 1437794716
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D0694926
LAB Type Physician Office
Facility Name RELIANT MEDICAL GROUP NEPONSET ST DERMATOLOGY
Street 5 NEPONSET ST
City WORCESTER
State MA
ZIP 01606
Phone 508 460-3263
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director DR. DANIEL D. KOELLIKER

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