22D1033198 CLIA NUMBER - PDI WORCESTER

Laboratory Demographics

  • CLIA Code: 22D1033198
  • Facility Name: PDI WORCESTER
  • Facility Address: 19 GLENNIE STREET SUITE A
    WORCESTER, MA
    ZIP 01605
  • Facility Phone: 508 421-9539
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HOWARD J. ALFRED MD
  • NPI Number: 1346374436
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1033198
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PDI WORCESTER
Street 19 GLENNIE STREET SUITE A
City WORCESTER
State MA
ZIP 01605
Phone 508 421-9539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HOWARD J. ALFRED MD

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This page was last updated on: 3/20/2025