22D1019692 CLIA NUMBER - 116 BELMONT STREET IM

Laboratory Demographics

  • CLIA Code: 22D1019692
  • Facility Name: 116 BELMONT STREET IM
  • Facility Address: 116 BELMONT STREET SUITE 42
    WORCESTER, MA
    ZIP 01605
  • Facility Phone: 508 762-4480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YUYAO WANG
  • NPI Number: 1487700522
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1019692
LAB Type Physician Office
Facility Name 116 BELMONT STREET IM
Street 116 BELMONT STREET SUITE 42
City WORCESTER
State MA
ZIP 01605
Phone 508 762-4480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director YUYAO WANG

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