22D2151080 CLIA NUMBER - WORCESTER WIC PROGRAM

Laboratory Demographics

  • CLIA Code: 22D2151080
  • Facility Name: WORCESTER WIC PROGRAM
  • Facility Address: 18 CHESTNUT ST SUITE 440
    WORCESTER, MA
    ZIP 01609
  • Facility Phone: 508 796-7000
  • Facility Type: Other - LOCAL WIC PROGRAM
  • Facility Type: Waiver
  • Lab Director: OANH NGUYEN
  • NPI Number: 1831256007
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 22D2151080
LAB Type Other - LOCAL WIC PROGRAM
Facility Name WORCESTER WIC PROGRAM
Street 18 CHESTNUT ST SUITE 440
City WORCESTER
State MA
ZIP 01609
Phone 508 796-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Other - LOCAL WIC PROGRAM
Lab Director OANH NGUYEN

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