22D2253760 CLIA NUMBER - WORCESTER ACADEMY

Laboratory Demographics

  • CLIA Code: 22D2253760
  • Facility Name: WORCESTER ACADEMY
  • Facility Address: 81 PROVIDENCE STREET, HEALTH OFFICE
    WORCESTER, MA
    ZIP 01604
  • Facility Phone: 508 754-5302
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KELLY M. RIZY
  • NPI Number: 1578956595
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 22D2253760
LAB Type School/Student Health Service
Facility Name WORCESTER ACADEMY
Street 81 PROVIDENCE STREET, HEALTH OFFICE
City WORCESTER
State MA
ZIP 01604
Phone 508 754-5302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type School/Student Health Service
Lab Director KELLY M. RIZY

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