22D2037149 CLIA NUMBER - ISLAND COUNSELING CTR

Laboratory Demographics

  • CLIA Code: 22D2037149
  • Facility Name: ISLAND COUNSELING CTR
  • Facility Address: 108 GROVE ST, 2ND FLOOR
    WORCESTER, MA
    ZIP 01605
  • Facility Phone: 508 753-3220
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. M RACHID OCH
  • NPI Number: 1750648689
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2037149
LAB Type Practitioner Other
Facility Name ISLAND COUNSELING CTR
Street 108 GROVE ST, 2ND FLOOR
City WORCESTER
State MA
ZIP 01605
Phone 508 753-3220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Practitioner Other
Lab Director DR. M RACHID OCH

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