22D2108317 CLIA NUMBER - NEWTON WELLESLEY PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 22D2108317
  • Facility Name: NEWTON WELLESLEY PRIMARY CARE PC
  • Facility Address: 40 WALNUT ST STE 102
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: 781 943-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM C. LIAW
  • NPI Number: 1003911579
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2108317
LAB Type Physician Office
Facility Name NEWTON WELLESLEY PRIMARY CARE PC
Street 40 WALNUT ST STE 102
City WELLESLEY
State MA
ZIP 02481
Phone 781 943-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director WILLIAM C. LIAW

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This page was last updated on: 3/20/2025