CLIA lab
CLIA 22D1004757: Marlborough Internal Medicine PC
Marlboro, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D1004757 belongs to Marlborough Internal Medicine PC in Marlboro, MA.
Certificate of Waiver, effective October 4, 2024, expiration date October 3, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 4, 2024
- Certificate expiration
- October 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2002
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 22D1004757
- Lab name
- Marlborough Internal Medicine PC
- Address
- 65 Fremont St, Marlboro, MA 01752
- Phone
- (508) 303-8553
- Fax
- (508) 303-0665
Annual test volume the lab reported
- Waived tests
- 1,250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Marlboro, MA
- Adult & Pediatric Dermatology, PCCertificate of Compliance, Physician office22D2004899
- Aging Well Adult Day Health CenterCertificate of Waiver, Other22D2107886
- Bouvier Pharmacy, IncCertificate of Waiver, Pharmacy22D2182571
- Glenhaven AcademyCertificate of Waiver, School or student health service22D1003663
- Marlboro Medical AssociatesCertificate of Waiver, Physician office22D1034773
- Marlboro Primary CareCertificate of Waiver, Physician office22D1069757
- Marlborough Hills Rehabilitation and Health CareCertificate of Waiver, Skilled nursing or nursing facility22D0650079
- Umass Memorial Marlboro HospitalCertificate of Waiver, Health fair22D0998672
Related
Questions
What is the CLIA number for Marlborough Internal Medicine PC in Marlboro?
22D1004757, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Marlborough Internal Medicine PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D1004757 expire?
The CMS file lists October 3, 2026 as the certificate expiration date; the certificate took effect October 4, 2024.