22D2002928 CLIA NUMBER - KJC MEDI WEIGHT LOSS, LLC

Laboratory Demographics

  • CLIA Code: 22D2002928
  • Facility Name: KJC MEDI WEIGHT LOSS, LLC
  • Facility Address: 603 SALEM STREET
    WAKEFIELD, MA
    ZIP 01880
  • Facility Phone: 781 245-6334
  • Facility Type: Other - MEDICAL WEIGHT LOSS OFFIC
  • Facility Type: Waiver
  • Lab Director: JEANNE M. KILP
  • NPI Number: 1336692243
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2002928
LAB Type Other - MEDICAL WEIGHT LOSS OFFIC
Facility Name KJC MEDI WEIGHT LOSS, LLC
Street 603 SALEM STREET
City WAKEFIELD
State MA
ZIP 01880
Phone 781 245-6334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Other - MEDICAL WEIGHT LOSS OFFIC
Lab Director JEANNE M. KILP

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