22D2167067 CLIA NUMBER - RELIANT MEDICAL GROUP NEPONSET ST

Laboratory Demographics

  • CLIA Code: 22D2167067
  • Facility Name: RELIANT MEDICAL GROUP NEPONSET ST
  • Facility Address: 5 NEPONSET STREET
    WORCESTER, MA
    ZIP 01606
  • Facility Phone: (508) 460-3263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDY J. BERGMAN
  • NPI Number: 1063765600
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2167067
LAB Type Physician Office
Facility Name RELIANT MEDICAL GROUP NEPONSET ST
Street 5 NEPONSET STREET
City WORCESTER
State MA
ZIP 01606
Phone 5084603263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director WENDY J. BERGMAN

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: 5/18/2026