22D2269651 CLIA NUMBER - CONVENIENTMD URGENT CARE - PEABODY

Laboratory Demographics

  • CLIA Code: 22D2269651
  • Facility Name: CONVENIENTMD URGENT CARE - PEABODY
  • Facility Address: 210 ANDOVER STREET
    PEABODY, MA
    ZIP 01960
  • Facility Phone: 978 488-3234
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHAMRANG KHALSA
  • NPI Number: 1598480659
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2269651
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD URGENT CARE - PEABODY
Street 210 ANDOVER STREET
City PEABODY
State MA
ZIP 01960
Phone 978 488-3234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - URGENT CARE
Lab Director DR. SHAMRANG KHALSA

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