22D1006309 CLIA NUMBER - WOBURN NEPHROLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 22D1006309
  • Facility Name: WOBURN NEPHROLOGY ASSOCIATES PC
  • Facility Address: 92 MONTVALE AVENUE SUITE 2000
    STONEHAM, MA
    ZIP 02180
  • Facility Phone: 781 438-2663
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELE A. CRAGE
  • NPI Number: 1801499348
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1006309
LAB Type Physician Office
Facility Name WOBURN NEPHROLOGY ASSOCIATES PC
Street 92 MONTVALE AVENUE SUITE 2000
City STONEHAM
State MA
ZIP 02180
Phone 781 438-2663
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 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director MICHELE A. CRAGE

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