22D2327253 CLIA NUMBER - MOORE WELLNESS CORP DBA MEDI-WEIGHTLOSS

Laboratory Demographics

  • CLIA Code: 22D2327253
  • Facility Name: MOORE WELLNESS CORP DBA MEDI-WEIGHTLOSS
  • Facility Address: 1661 WORCESTER ROAD, SUITE 101
    FRAMINGHAM, MA
    ZIP 01701
  • Facility Phone: 781 254-8755
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: IBRAHIM EID
  • NPI Number: 1639066459
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2327253
LAB Type Practitioner Other
Facility Name MOORE WELLNESS CORP DBA MEDI-WEIGHTLOSS
Street 1661 WORCESTER ROAD, SUITE 101
City FRAMINGHAM
State MA
ZIP 01701
Phone 781 254-8755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Practitioner Other
Lab Director IBRAHIM EID

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