CLIA lab

CLIA 22D2006628: Neelam M Thacker MD

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

CLIA number 22D2006628 belongs to Neelam M Thacker MD in Medford, MA.

Certificate of Waiver, effective April 27, 2026, expires April 26, 2028.

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
April 27, 2026
Certificate expiration
April 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 27, 2010
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
22D2006628
Lab name
Neelam M Thacker MD
Address
101 Main Street, Suite 210, Medford, MA 02155
Phone
(781) 396-8100
Fax
(781) 391-9929

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Medford, MA

Related

Questions

What is the CLIA number for Neelam M Thacker MD in Medford?

22D2006628, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Neelam M Thacker MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D2006628 expire?

The CMS file lists April 26, 2028 as the certificate expiration date; the certificate took effect April 27, 2026.

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