22D2228621 CLIA NUMBER - ALLIANCE DENTAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 22D2228621
  • Facility Name: ALLIANCE DENTAL CENTER, LLC
  • Facility Address: 111 WASHINGTON STREET SUITE 301
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 617 984-6156
  • Facility Type: Other - DENTAL PRACTICE
  • Facility Type: Waiver
  • Lab Director: DIVYA UPADHYAY
  • NPI Number: 1922566041
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D2228621
LAB Type Other - DENTAL PRACTICE
Facility Name ALLIANCE DENTAL CENTER, LLC
Street 111 WASHINGTON STREET SUITE 301
City QUINCY
State MA
ZIP 02169
Phone 617 984-6156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Other - DENTAL PRACTICE
Lab Director DIVYA UPADHYAY

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