22D2135860 CLIA NUMBER - WALPOLE MEDICAL CENTER, PC

Laboratory Demographics

  • CLIA Code: 22D2135860
  • Facility Name: WALPOLE MEDICAL CENTER, PC
  • Facility Address: 841 MAIN STREET SUITE 3
    WALPOLE, MA
    ZIP 02081
  • Facility Phone: 508 580-3300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: REZENE BERHANE
  • NPI Number: 1174052351
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2135860
LAB Type Physician Office
Facility Name WALPOLE MEDICAL CENTER, PC
Street 841 MAIN STREET SUITE 3
City WALPOLE
State MA
ZIP 02081
Phone 508 580-3300
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director REZENE BERHANE

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