22D0980551 CLIA NUMBER - WELLESLEY PRIMARY CARE MEDICINE PC

Laboratory Demographics

  • CLIA Code: 22D0980551
  • Facility Name: WELLESLEY PRIMARY CARE MEDICINE PC
  • Facility Address: 65 WALNUT STREET, SUITE 500
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: 781 431-2345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN I. GLASER
  • NPI Number: 1750502795
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 22D0980551
LAB Type Physician Office
Facility Name WELLESLEY PRIMARY CARE MEDICINE PC
Street 65 WALNUT STREET, SUITE 500
City WELLESLEY
State MA
ZIP 02481
Phone 781 431-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director ALAN I. GLASER

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