22D2318234 CLIA NUMBER - CVS CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 22D2318234
  • Facility Name: CVS CLINIC, PLLC
  • Facility Address: 21 AUSTIN ST STE B
    CHARLESTOWN, MA
    ZIP 02129
  • Facility Phone: 857 344-0545
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: DAVID G. FAIRCHILD
  • NPI Number: 1518715812
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2318234
LAB Type Other - URGENT CARE CLINIC
Facility Name CVS CLINIC, PLLC
Street 21 AUSTIN ST STE B
City CHARLESTOWN
State MA
ZIP 02129
Phone 857 344-0545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Other - URGENT CARE CLINIC
Lab Director DAVID G. FAIRCHILD

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