22D0862984 CLIA NUMBER - RELIANT MEDICAL GROUP HOLDEN

Laboratory Demographics

  • CLIA Code: 22D0862984
  • Facility Name: RELIANT MEDICAL GROUP HOLDEN
  • Facility Address: 64 BOYDEN ROAD
    HOLDEN, MA
    ZIP 01520
  • Facility Phone: 508 425-6032
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN J. SMITH
  • NPI Number: 1871846428
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D0862984
LAB Type Physician Office
Facility Name RELIANT MEDICAL GROUP HOLDEN
Street 64 BOYDEN ROAD
City HOLDEN
State MA
ZIP 01520
Phone 508 425-6032
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STEPHEN J. SMITH

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This page was last updated on: 6/4/2025