22D2165303 CLIA NUMBER - CONVENIENTMD URGENT CARE - QUINCY

Laboratory Demographics

  • CLIA Code: 22D2165303
  • Facility Name: CONVENIENTMD URGENT CARE - QUINCY
  • Facility Address: 479 WASHINGTON ST STE 2
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 857 529-5220
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHAMRANG KHALSA
  • NPI Number: 1386281020
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2165303
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD URGENT CARE - QUINCY
Street 479 WASHINGTON ST STE 2
City QUINCY
State MA
ZIP 02169
Phone 857 529-5220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - URGENT CARE
Lab Director DR. SHAMRANG KHALSA

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