22D1046048 CLIA NUMBER - ANN NICOLOFF BECKER MD

Laboratory Demographics

  • CLIA Code: 22D1046048
  • Facility Name: ANN NICOLOFF BECKER MD
  • Facility Address: 332 WASHINGTON STREET 2ND FLOOR SUITE 275 FRASIER MEDICAL BUILDING
    WELLESLEY HILLS, MA
    ZIP 02481
  • Facility Phone: 781 235-7730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANN NICOLOFF BECKER MD
  • NPI Number: 1285829887
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D1046048
LAB Type Physician Office
Facility Name ANN NICOLOFF BECKER MD
Street 332 WASHINGTON STREET 2ND FLOOR SUITE 275 FRASIER MEDICAL BUILDING
City WELLESLEY HILLS
State MA
ZIP 02481
Phone 781 235-7730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director ANN NICOLOFF BECKER MD

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