22D1088788 CLIA NUMBER - PRIMARY CARE OF WELLESLEY

Laboratory Demographics

  • CLIA Code: 22D1088788
  • Facility Name: PRIMARY CARE OF WELLESLEY
  • Facility Address: 195 WORCESTER STREET
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: (617) 219-1510
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DENISE M. MAYO

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CLIA Record

Field Name Field Value
CLIA Number 22D1088788
LAB Type Physician Office
Facility Name PRIMARY CARE OF WELLESLEY
Street 195 WORCESTER STREET
City WELLESLEY
State MA
ZIP 02481
Phone 6172191510
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 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director DR. DENISE M. MAYO

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This page was last updated on: 5/18/2026