22D2103812 CLIA NUMBER - ROOT FAMILY MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 22D2103812
  • Facility Name: ROOT FAMILY MEDICINE, PC
  • Facility Address: 3 EDGEWATER DR STE 102
    NORWOOD, MA
    ZIP 02062
  • Facility Phone: 781 928-7668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOELLE L. LEE
  • NPI Number: 1346625985
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2103812
LAB Type Physician Office
Facility Name ROOT FAMILY MEDICINE, PC
Street 3 EDGEWATER DR STE 102
City NORWOOD
State MA
ZIP 02062
Phone 781 928-7668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director NOELLE L. LEE

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