22D2310885 CLIA NUMBER - CONVENIENTMD URGENT CARE- BROCKTON

Laboratory Demographics

  • CLIA Code: 22D2310885
  • Facility Name: CONVENIENTMD URGENT CARE- BROCKTON
  • Facility Address: 1285 BELMONT ST STE 1
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 508 849-7015
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHAMRANG KHALSA
  • NPI Number: 1932942869
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2310885
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD URGENT CARE- BROCKTON
Street 1285 BELMONT ST STE 1
City BROCKTON
State MA
ZIP 02301
Phone 508 849-7015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - URGENT CARE
Lab Director SHAMRANG KHALSA

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