22D2242874 CLIA NUMBER - COMMONWEALTH DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 22D2242874
  • Facility Name: COMMONWEALTH DERMATOLOGY PLLC
  • Facility Address: 100 MLK JR BLVD STE 200
    WORCESTER, MA
    ZIP 01608
  • Facility Phone: (774) 389-0887
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SADAF WAQAR
  • NPI Number: 1205405834
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2242874
LAB Type Physician Office
Facility Name COMMONWEALTH DERMATOLOGY PLLC
Street 100 MLK JR BLVD STE 200
City WORCESTER
State MA
ZIP 01608
Phone 7743890887
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director SADAF WAQAR

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This page was last updated on: 5/18/2026