22D2141834 CLIA NUMBER - 3D MEDICAL

Laboratory Demographics

  • CLIA Code: 22D2141834
  • Facility Name: 3D MEDICAL
  • Facility Address: 500 VICTORY ROAD
    QUINCY, MA
    ZIP 02171
  • Facility Phone: 617 481-6905
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVI KASIMATI
  • NPI Number: 1255850020
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2141834
LAB Type Physician Office
Facility Name 3D MEDICAL
Street 500 VICTORY ROAD
City QUINCY
State MA
ZIP 02171
Phone 617 481-6905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director IVI KASIMATI

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