22D2143446 CLIA NUMBER - NORTH CENTRAL WIC PROGRAM

Laboratory Demographics

  • CLIA Code: 22D2143446
  • Facility Name: NORTH CENTRAL WIC PROGRAM
  • Facility Address: 49 NURSERY LANE
    FITCHBURG, MA
    ZIP 01420
  • Facility Phone: 978 345-6272
  • Facility Type: Other - LOCAL WIC PROGRM
  • Facility Type: Waiver
  • Lab Director: REBECCA MACKIE
  • NPI Number: 1871781187
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 22D2143446
LAB Type Other - LOCAL WIC PROGRM
Facility Name NORTH CENTRAL WIC PROGRAM
Street 49 NURSERY LANE
City FITCHBURG
State MA
ZIP 01420
Phone 978 345-6272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Other - LOCAL WIC PROGRM
Lab Director REBECCA MACKIE

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