22D0895509 CLIA NUMBER - WORCESTER STATE COLEGE STUDENT HEALTH SVC

Laboratory Demographics

  • CLIA Code: 22D0895509
  • Facility Name: WORCESTER STATE COLEGE STUDENT HEALTH SVC
  • Facility Address: 486 CHANDLER STREET
    WORCESTER, MA
    ZIP 01602
  • Facility Phone: 508 793-8875
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: JOHN MCCAHAN MD
  • NPI Number: 1063935666
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D0895509
LAB Type School/Student Health Service
Facility Name WORCESTER STATE COLEGE STUDENT HEALTH SVC
Street 486 CHANDLER STREET
City WORCESTER
State MA
ZIP 01602
Phone 508 793-8875
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 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type School/Student Health Service
Lab Director JOHN MCCAHAN MD

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