22D1030028 CLIA NUMBER - RANDOLPH MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D1030028
  • Facility Name: RANDOLPH MEDICAL ASSOCIATES
  • Facility Address: 32 SOUTH MAIN STREET
    RANDOLPH, MA
    ZIP 02368
  • Facility Phone: 781 986-1368
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA A. RODRIGUES MD
  • NPI Number: 1790984268
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1030028
LAB Type Physician Office
Facility Name RANDOLPH MEDICAL ASSOCIATES
Street 32 SOUTH MAIN STREET
City RANDOLPH
State MA
ZIP 02368
Phone 781 986-1368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director MARIA A. RODRIGUES MD

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