22D0942833 CLIA NUMBER - CHARLES RIVER MEDICAL ASSOCIATES, DR KATYA DIVARI

Laboratory Demographics

  • CLIA Code: 22D0942833
  • Facility Name: CHARLES RIVER MEDICAL ASSOCIATES, DR KATYA DIVARI
  • Facility Address: 336 UNION AVE
    FRAMINGHAM, MA
    ZIP 01702
  • Facility Phone: 508 872-2002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATYA DIVARI
  • NPI Number: 1457426520
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0942833
LAB Type Physician Office
Facility Name CHARLES RIVER MEDICAL ASSOCIATES, DR KATYA DIVARI
Street 336 UNION AVE
City FRAMINGHAM
State MA
ZIP 01702
Phone 508 872-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director KATYA DIVARI

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