22D2325101 CLIA NUMBER - CONVENIENTMD URGENT CARE- STURBRIDGE

Laboratory Demographics

  • CLIA Code: 22D2325101
  • Facility Name: CONVENIENTMD URGENT CARE- STURBRIDGE
  • Facility Address: 216 CHARLTON ROAD
    STURBRIDGE, MA
    ZIP 01566
  • Facility Phone: 508 310-4330
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHAM RANG S. KHALSA
  • NPI Number: 1386526192
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2325101
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD URGENT CARE- STURBRIDGE
Street 216 CHARLTON ROAD
City STURBRIDGE
State MA
ZIP 01566
Phone 508 310-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Other - URGENT CARE
Lab Director DR. SHAM RANG S. KHALSA

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