22D1104494 CLIA NUMBER - RELIANT MEDICAL GROUP AUBURN

Laboratory Demographics

  • CLIA Code: 22D1104494
  • Facility Name: RELIANT MEDICAL GROUP AUBURN
  • Facility Address: 4 BROTHERTON WAY
    AUBURN, MA
    ZIP 01501
  • Facility Phone: 508 460-3263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY M. MANCHESTER
  • NPI Number: 1063765600
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D1104494
LAB Type Physician Office
Facility Name RELIANT MEDICAL GROUP AUBURN
Street 4 BROTHERTON WAY
City AUBURN
State MA
ZIP 01501
Phone 508 460-3263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director KELLY M. MANCHESTER

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