CLIA lab

CLIA 22D1019692: 116 Belmont Street Im

Worcester, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 22D1019692 belongs to 116 Belmont Street Im in Worcester, MA.

Certificate of Waiver, effective February 10, 2025, expires February 9, 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
February 10, 2025
Certificate expiration
February 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 25, 2003
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
22D1019692
Lab name
116 Belmont Street Im
Address
116 Belmont Street, Suite 42, Worcester, MA 01605
Phone
(508) 762-4480
Fax
(508) 752-1404

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.

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Related

Questions

What is the CLIA number for 116 Belmont Street Im in Worcester?

22D1019692, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 116 Belmont Street Im hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D1019692 expire?

The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.

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