22D2251093 CLIA NUMBER - ELGON BUSINESS GROUP INC

Laboratory Demographics

  • CLIA Code: 22D2251093
  • Facility Name: ELGON BUSINESS GROUP INC
  • Facility Address: 24 CRESCENT STREET SUITE 302
    WALTHAM, MA
    ZIP 02453
  • Facility Phone: 781 308-1345
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HARRIET KIDDU
  • NPI Number: 1679228100
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 22D2251093
LAB Type Mobile Laboratory
Facility Name ELGON BUSINESS GROUP INC
Street 24 CRESCENT STREET SUITE 302
City WALTHAM
State MA
ZIP 02453
Phone 781 308-1345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Mobile Laboratory
Lab Director HARRIET KIDDU

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This page was last updated on: 3/20/2025