22D2301510 CLIA NUMBER - INNER HEALING MEDICAL

Laboratory Demographics

  • CLIA Code: 22D2301510
  • Facility Name: INNER HEALING MEDICAL
  • Facility Address: 465 WAVERLEY OAKS RD STE 201
    WALTHAM, MA
    ZIP 02452
  • Facility Phone: 781 614-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIANELA LAVENA
  • NPI Number: 1700566635
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2301510
LAB Type Physician Office
Facility Name INNER HEALING MEDICAL
Street 465 WAVERLEY OAKS RD STE 201
City WALTHAM
State MA
ZIP 02452
Phone 781 614-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director MARIANELA LAVENA

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