22D2306891 CLIA NUMBER - MARITIME MOHS

Laboratory Demographics

  • CLIA Code: 22D2306891
  • Facility Name: MARITIME MOHS
  • Facility Address: 62 WALNUT STREET, FIRST FLOOR
    WELLESLEY HILLS, MA
    ZIP 02481
  • Facility Phone: 617 710-6585
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JESSICA S. MOSHER
  • NPI Number: 1063279420
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2306891
LAB Type Physician Office
Facility Name MARITIME MOHS
Street 62 WALNUT STREET, FIRST FLOOR
City WELLESLEY HILLS
State MA
ZIP 02481
Phone 617 710-6585
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director JESSICA S. MOSHER

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