22D0874309 CLIA NUMBER - CARLETON-WILLARD VILLAGE CLINIC

Laboratory Demographics

  • CLIA Code: 22D0874309
  • Facility Name: CARLETON-WILLARD VILLAGE CLINIC
  • Facility Address: 100 OLD BILLERICA ROAD
    BEDFORD, MA
    ZIP 01730
  • Facility Phone: 617 275-8700
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: CHERIE A. NOE MD
  • NPI Number: 1528067394
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0874309
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CARLETON-WILLARD VILLAGE CLINIC
Street 100 OLD BILLERICA ROAD
City BEDFORD
State MA
ZIP 01730
Phone 617 275-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director CHERIE A. NOE MD

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