22D1003629 CLIA NUMBER - TRISTAN MEDICAL PC

Laboratory Demographics

  • CLIA Code: 22D1003629
  • Facility Name: TRISTAN MEDICAL PC
  • Facility Address: 184 W MAIN STREET
    NORTON, MA
    ZIP 02766
  • Facility Phone: 508 824-0243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE THIBERT
  • NPI Number: 1629459474
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1003629
LAB Type Physician Office
Facility Name TRISTAN MEDICAL PC
Street 184 W MAIN STREET
City NORTON
State MA
ZIP 02766
Phone 508 824-0243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director JULIE THIBERT

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