22D0926928 CLIA NUMBER - WELLINGTON CIRCLE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 22D0926928
  • Facility Name: WELLINGTON CIRCLE DIALYSIS CENTER
  • Facility Address: 10 CABOT ROAD SUITE 103B
    MEDFORD, MA
    ZIP 02155
  • Facility Phone: 781 322-7170
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ASHRAF SELIM MD
  • NPI Number: 1477667079
  • Taxonomy: 1223P0700X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D0926928
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WELLINGTON CIRCLE DIALYSIS CENTER
Street 10 CABOT ROAD SUITE 103B
City MEDFORD
State MA
ZIP 02155
Phone 781 322-7170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ASHRAF SELIM MD

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