22D1034604 CLIA NUMBER - QUEST DIAGNOSTICS MASSACHUSETTS LLC

Laboratory Demographics

  • CLIA Code: 22D1034604
  • Facility Name: QUEST DIAGNOSTICS MASSACHUSETTS LLC
  • Facility Address: 366 SHREWSBURY ST
    WORCESTER, MA
    ZIP 01604
  • Facility Phone: 508 755-1233
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: LARISA DAVYDOVA
  • NPI Number: 1508306747
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 22D1034604
LAB Type Independent
Facility Name QUEST DIAGNOSTICS MASSACHUSETTS LLC
Street 366 SHREWSBURY ST
City WORCESTER
State MA
ZIP 01604
Phone 508 755-1233
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Independent
Lab Director LARISA DAVYDOVA

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