22D2262734 CLIA NUMBER - JSB WELLNESS, LLC DBA MEDI-WEIGHTLOSS - NORTH ANDOVER

Laboratory Demographics

  • CLIA Code: 22D2262734
  • Facility Name: JSB WELLNESS, LLC DBA MEDI-WEIGHTLOSS - NORTH ANDOVER
  • Facility Address: 997 OSGOOD ST
    NORTH ANDOVER, MA
    ZIP 01845
  • Facility Phone: 978 580-9758
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: IBRAHIM EID
  • NPI Number: 1184379919
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2262734
LAB Type Practitioner Other
Facility Name JSB WELLNESS, LLC DBA MEDI-WEIGHTLOSS - NORTH ANDOVER
Street 997 OSGOOD ST
City NORTH ANDOVER
State MA
ZIP 01845
Phone 978 580-9758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Practitioner Other
Lab Director IBRAHIM EID

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