22D1025056 CLIA NUMBER - NANCY D BERUBE MD PC

Laboratory Demographics

  • CLIA Code: 22D1025056
  • Facility Name: NANCY D BERUBE MD PC
  • Facility Address: 121 LINCOLN STREET
    WORCESTER, MA
    ZIP 01605
  • Facility Phone: 508 756-0514
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NANCY D. BERUBE
  • NPI Number: 1538131867
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1025056
LAB Type Physician Office
Facility Name NANCY D BERUBE MD PC
Street 121 LINCOLN STREET
City WORCESTER
State MA
ZIP 01605
Phone 508 756-0514
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 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director NANCY D. BERUBE

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