22D1006589 CLIA NUMBER - ROBERT H WU MD PC

Laboratory Demographics

  • CLIA Code: 22D1006589
  • Facility Name: ROBERT H WU MD PC
  • Facility Address: 65 HARRISON AVENUE SUITE 308
    BOSTON, MA
    ZIP 02111
  • Facility Phone: 617 338-9889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT H. WU
  • NPI Number: 1790166411
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D1006589
LAB Type Physician Office
Facility Name ROBERT H WU MD PC
Street 65 HARRISON AVENUE SUITE 308
City BOSTON
State MA
ZIP 02111
Phone 617 338-9889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director ROBERT H. WU

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