22D2010096 CLIA NUMBER - MEDI-WEIGHTLOSS BILLERICA

Laboratory Demographics

  • CLIA Code: 22D2010096
  • Facility Name: MEDI-WEIGHTLOSS BILLERICA
  • Facility Address: 99 CHELMSFORD ROAD, SUITE 8
    BILLERICA, MA
    ZIP 01821
  • Facility Phone: 978 244-0411
  • Facility Type: Other - WEIGHT LOSS CLINIC
  • Facility Type: Waiver
  • Lab Director: JEANNE KILP
  • NPI Number: 1144673229
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2010096
LAB Type Other - WEIGHT LOSS CLINIC
Facility Name MEDI-WEIGHTLOSS BILLERICA
Street 99 CHELMSFORD ROAD, SUITE 8
City BILLERICA
State MA
ZIP 01821
Phone 978 244-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Other - WEIGHT LOSS CLINIC
Lab Director JEANNE KILP

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