22D2247791 CLIA NUMBER - ATTLEBORO CENTER JRI

Laboratory Demographics

  • CLIA Code: 22D2247791
  • Facility Name: ATTLEBORO CENTER JRI
  • Facility Address: 543 NEWPORT AVENUE
    SOUTH ATTLEBORO, MA
    ZIP 02703
  • Facility Phone: 508 226-6031
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: GRETCHEN WOODWARD
  • NPI Number: 1932739950
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D2247791
LAB Type School/Student Health Service
Facility Name ATTLEBORO CENTER JRI
Street 543 NEWPORT AVENUE
City SOUTH ATTLEBORO
State MA
ZIP 02703
Phone 508 226-6031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type School/Student Health Service
Lab Director GRETCHEN WOODWARD

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