22D2099562 CLIA NUMBER - MINDFUL MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 22D2099562
  • Facility Name: MINDFUL MEDICAL CARE PC
  • Facility Address: 100 TEATICKET HIGHWAY
    TEATICKET, MA
    ZIP 02536
  • Facility Phone: 508 444-6989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA AZIZIAN
  • NPI Number: 1093103087
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 22D2099562
LAB Type Physician Office
Facility Name MINDFUL MEDICAL CARE PC
Street 100 TEATICKET HIGHWAY
City TEATICKET
State MA
ZIP 02536
Phone 508 444-6989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director MARIA AZIZIAN

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