22D2298805 CLIA NUMBER - WORCESTER EVENING FREE MEDICAL SERVICE PROGRAM INC

Laboratory Demographics

  • CLIA Code: 22D2298805
  • Facility Name: WORCESTER EVENING FREE MEDICAL SERVICE PROGRAM INC
  • Facility Address: 64 SALISBURY STREET
    WORCESTER, MA
    ZIP 01609
  • Facility Phone: 315 244-9884
  • Facility Type: Other - FREE MEDICAL SERVICE
  • Facility Type: Waiver
  • Lab Director: BRENTON D. FABER
  • NPI Number: 1366434425
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 22D2298805
LAB Type Other - FREE MEDICAL SERVICE
Facility Name WORCESTER EVENING FREE MEDICAL SERVICE PROGRAM INC
Street 64 SALISBURY STREET
City WORCESTER
State MA
ZIP 01609
Phone 315 244-9884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Other - FREE MEDICAL SERVICE
Lab Director BRENTON D. FABER

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