22D2202754 CLIA NUMBER - MENDON UPTON REGIONAL SCHOOL DISTRICT

Laboratory Demographics

CLIA Code: 22D2202754
Facility Name: MENDON UPTON REGIONAL SCHOOL DISTRICT
Facility Address: 90 PLEASANT STREET
UPTON, MA
ZIP 01568
Facility Phone: 508 529-2143
Facility Type: School/Student Health Service
Facility Type: Waiver
Lab Director: DEANNA PAVONE
NPI Number: 1447479944
Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program

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CLIA Record

Field Name	Field Value
CLIA Number	22D2202754
LAB Type	School/Student Health Service
Facility Name	MENDON UPTON REGIONAL SCHOOL DISTRICT
Street	90 PLEASANT STREET
City	UPTON
State	MA
ZIP	01568
Phone	508 529-2143
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/1/2024
Certificate Expiration Date	11/30/2026
Facility Type	School/Student Health Service
Lab Director	DEANNA PAVONE

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