22D2204661 CLIA NUMBER - NASHOBA REGIONAL SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 22D2204661
  • Facility Name: NASHOBA REGIONAL SCHOOL DISTRICT
  • Facility Address: 50 MECHANIC STREET
    BOLTON, MA
    ZIP 01740
  • Facility Phone: 978 779-0539
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LESA BREAULT-GULBICKI
  • NPI Number: 1174643399
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 22D2204661
LAB Type School/Student Health Service
Facility Name NASHOBA REGIONAL SCHOOL DISTRICT
Street 50 MECHANIC STREET
City BOLTON
State MA
ZIP 01740
Phone 978 779-0539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type School/Student Health Service
Lab Director LESA BREAULT-GULBICKI

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