22D2057179 CLIA NUMBER - WEYMOUTH MRI-420 LIBBEY PARKWAY

Laboratory Demographics

  • CLIA Code: 22D2057179
  • Facility Name: WEYMOUTH MRI-420 LIBBEY PARKWAY
  • Facility Address: 420 LIBBEY INDUSTRIAL PARKWAY
    WEYMOUTH, MA
    ZIP 02189
  • Facility Phone: 781 331-9880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RALPH VALLIERE
  • NPI Number: 1386832723
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2057179
LAB Type Physician Office
Facility Name WEYMOUTH MRI-420 LIBBEY PARKWAY
Street 420 LIBBEY INDUSTRIAL PARKWAY
City WEYMOUTH
State MA
ZIP 02189
Phone 781 331-9880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director RALPH VALLIERE

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