22D2193819 CLIA NUMBER - KSA WELLNESS DBA MEDI-WEIGHTLOSS BRAINTREE

Laboratory Demographics

  • CLIA Code: 22D2193819
  • Facility Name: KSA WELLNESS DBA MEDI-WEIGHTLOSS BRAINTREE
  • Facility Address: 340 WOOD RD
    BRAINTREE, MA
    ZIP 02184
  • Facility Phone: 339 793-0194
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMES MENSCHING
  • NPI Number: 1598382483
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2193819
LAB Type Practitioner Other
Facility Name KSA WELLNESS DBA MEDI-WEIGHTLOSS BRAINTREE
Street 340 WOOD RD
City BRAINTREE
State MA
ZIP 02184
Phone 339 793-0194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Practitioner Other
Lab Director JAMES MENSCHING

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