CLIA lab
CLIA 22D0967886: Carmel Kelly, MD, Community Phys Assoc
Randolph, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D0967886 belongs to Carmel Kelly, MD, Community Phys Assoc in Randolph, MA.
Certificate of Waiver, effective November 26, 2025, expires November 25, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 26, 2025
- Certificate expiration
- November 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 26, 1999
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 22D0967886
- Lab name
- Carmel Kelly, MD, Community Phys Assoc
- Address
- 1093 North Main Street, Randolph, MA 02368
- Phone
- (617) 696-4600
- Fax
- (617) 696-7699
Annual test volume the lab reported
- Waived tests
- 440
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Randolph, MA
- Access Homecare Services IncCertificate of Waiver, Home health agency22D2088002
- Bidhc-RandolphCertificate of Waiver, Physician office22D0983427
- Careone RandolphCertificate of Waiver, Skilled nursing or nursing facility22D0080241
- Creations Health Care IncCertificate of Waiver, Home health agency22D2074701
- Grow Associates, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities22D2048340
- May InstituteCertificate of Waiver, School or student health service22D2054292
- Maya Home Health Care LLCCertificate of Waiver, Home health agency22D2276746
- Randolph Medical AssociatesCertificate of Waiver, Physician office22D1030028
- Randolph SbhcCertificate for Provider-Performed Microscopy Procedures, Other22D2330661
- Seth Mann 2nd Home for WomenCertificate of Waiver, Other22D2127863
Related
Questions
What is the CLIA number for Carmel Kelly, MD, Community Phys Assoc in Randolph?
22D0967886, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carmel Kelly, MD, Community Phys Assoc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D0967886 expire?
The CMS file lists November 25, 2027 as the certificate expiration date; the certificate took effect November 26, 2025.