22D2254586 CLIA NUMBER - MW WELLNESS VENTURES IV, LLC

Laboratory Demographics

  • CLIA Code: 22D2254586
  • Facility Name: MW WELLNESS VENTURES IV, LLC
  • Facility Address: 370 FAUNCE CORNER RD STE 1 SE
    DARTMOUTH, MA
    ZIP 02747
  • Facility Phone: 508 683-8817
  • Facility Type: Other - MEDICAL WEIGHT LOSS
  • Facility Type: Waiver
  • Lab Director: IBRAHIM EID
  • NPI Number: 1346873361
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2254586
LAB Type Other - MEDICAL WEIGHT LOSS
Facility Name MW WELLNESS VENTURES IV, LLC
Street 370 FAUNCE CORNER RD STE 1 SE
City DARTMOUTH
State MA
ZIP 02747
Phone 508 683-8817
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Other - MEDICAL WEIGHT LOSS
Lab Director IBRAHIM EID

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