22D2004619 CLIA NUMBER - IKRAM FAROOQI - SEHA MEDICAL & WOUND CARE LLC

Laboratory Demographics

  • CLIA Code: 22D2004619
  • Facility Name: IKRAM FAROOQI - SEHA MEDICAL & WOUND CARE LLC
  • Facility Address: 978 WORCESTER STREET SUITE #2
    WELLESLEY, MA
    ZIP 02482
  • Facility Phone: 781 898-7301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARA GANNETT
  • NPI Number: 1285685834
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2004619
LAB Type Physician Office
Facility Name IKRAM FAROOQI - SEHA MEDICAL & WOUND CARE LLC
Street 978 WORCESTER STREET SUITE #2
City WELLESLEY
State MA
ZIP 02482
Phone 781 898-7301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director TARA GANNETT

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