22D1100703 CLIA NUMBER - NATICK GENERAL PRACTICE

Laboratory Demographics

  • CLIA Code: 22D1100703
  • Facility Name: NATICK GENERAL PRACTICE
  • Facility Address: 67 UNION STREET SUITE 303
    NATICK, MA
    ZIP 01760
  • Facility Phone: 508 907-6201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENATA RATUSZNIK MARTIN
  • NPI Number: 1689808677
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1100703
LAB Type Physician Office
Facility Name NATICK GENERAL PRACTICE
Street 67 UNION STREET SUITE 303
City NATICK
State MA
ZIP 01760
Phone 508 907-6201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director RENATA RATUSZNIK MARTIN

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This page was last updated on: 6/4/2025