22D2163577 CLIA NUMBER - LOIS S GOODMAN, MD PLLC

Laboratory Demographics

  • CLIA Code: 22D2163577
  • Facility Name: LOIS S GOODMAN, MD PLLC
  • Facility Address: 422 WORCESTER ST STE 103
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: 781 789-8544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOIS S. GOODMAN
  • NPI Number: 1326602814
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2163577
LAB Type Physician Office
Facility Name LOIS S GOODMAN, MD PLLC
Street 422 WORCESTER ST STE 103
City WELLESLEY
State MA
ZIP 02481
Phone 781 789-8544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director LOIS S. GOODMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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