22D2174167 CLIA NUMBER - CONVENIENTMD URGENT CARE PEMBROKE

Laboratory Demographics

  • CLIA Code: 22D2174167
  • Facility Name: CONVENIENTMD URGENT CARE PEMBROKE
  • Facility Address: 296 OLD OAK ST
    PEMBROKE, MA
    ZIP 02359
  • Facility Phone: 339 244-3033
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHAMRANG KHALSA
  • NPI Number: 1457902892
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2174167
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD URGENT CARE PEMBROKE
Street 296 OLD OAK ST
City PEMBROKE
State MA
ZIP 02359
Phone 339 244-3033
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