22D0902375 CLIA NUMBER - ELENA GORLOVSKY, MD

Laboratory Demographics

  • CLIA Code: 22D0902375
  • Facility Name: ELENA GORLOVSKY, MD
  • Facility Address: 15 RICHARDSON AVE
    WAKEFIELD, MA
    ZIP 01880
  • Facility Phone: 781 245-2203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELENA GORLOVSKY MD
  • NPI Number: 1043267776
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0902375
LAB Type Physician Office
Facility Name ELENA GORLOVSKY, MD
Street 15 RICHARDSON AVE
City WAKEFIELD
State MA
ZIP 01880
Phone 781 245-2203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director ELENA GORLOVSKY MD

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