22D2202822 CLIA NUMBER - SMILES BY ROSIE, INC

Laboratory Demographics

  • CLIA Code: 22D2202822
  • Facility Name: SMILES BY ROSIE, INC
  • Facility Address: 6 KENSINGTON AVE
    SOMERVILLE, MA
    ZIP 02145
  • Facility Phone: 617 623-2100
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KATIE ROSE R. WAGNER
  • NPI Number: 1326304841
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2202822
LAB Type Practitioner Other
Facility Name SMILES BY ROSIE, INC
Street 6 KENSINGTON AVE
City SOMERVILLE
State MA
ZIP 02145
Phone 617 623-2100
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 Practitioner Other
Lab Director KATIE ROSE R. WAGNER

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: 9/29/2025