22D0972590 CLIA NUMBER - PREMIER MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D0972590
  • Facility Name: PREMIER MEDICAL ASSOCIATES
  • Facility Address: 25 WALNUT ST, SUITE 400
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: 781 237-5656
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DIANNE QUIBELL
  • NPI Number: 1366656456
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 22D0972590
LAB Type Physician Office
Facility Name PREMIER MEDICAL ASSOCIATES
Street 25 WALNUT ST, SUITE 400
City WELLESLEY
State MA
ZIP 02481
Phone 781 237-5656
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 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director DR. DIANNE QUIBELL

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