22D2257568 CLIA NUMBER - ON CALL TREATMENT

Laboratory Demographics

  • CLIA Code: 22D2257568
  • Facility Name: ON CALL TREATMENT
  • Facility Address: 564 MAIN STREET SUITE100
    WALTHAM, MA
    ZIP 02452
  • Facility Phone: 781 317-0005
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MICAH POLK
  • NPI Number: 1073123303
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2257568
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ON CALL TREATMENT
Street 564 MAIN STREET SUITE100
City WALTHAM
State MA
ZIP 02452
Phone 781 317-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MICAH POLK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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