22D2242054 CLIA NUMBER - WELLESLEY COLLEGE

Laboratory Demographics

CLIA Number: 22D2242054

Facility Name: WELLESLEY COLLEGE

Facility Address:
106 CENTRAL ST WELLESLEY COLLEGE CLUB 2ND FLOOR
WELLESLEY, MA
ZIP 02481
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Facility Phone Number: 781 283-2239

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1821587064

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 22D2242054
LAB Type School/Student Health Service
Facility Name WELLESLEY COLLEGE
Street 106 CENTRAL ST WELLESLEY COLLEGE CLUB 2ND FLOOR
City WELLESLEY
State MA
ZIP 02481
Phone 781 283-2239
CertificateType 4
CertificateEffectiveDate 11/4/2023
CertificateExpirationDate 11/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024