Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
22D2254586
|
|
Clinical laboratory number
|
|
Lab Name
|
MW WELLNESS VENTURES IV, LLC
|
|
Laboratory Name
|
|
Lab Type
|
Other - MEDICAL WEIGHT LOSS
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
508-683-8817
|
|
Laboratory telephone number
|
|
Fax
|
413-423-4320
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
370 FAUNCE CORNER RD
|
|
Primary location adress line
|
|
City
|
DARTMOUTH
|
|
Primary location city name
|
|
State
|
MA
|
|
Primary location state name
|
|
Zip
|
02747
|
|
Primary location postal code
|