22D0069726 CLIA NUMBER - BLUEPRINT GENETICS, INC DBA ATHENA DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 22D0069726
  • Facility Name: BLUEPRINT GENETICS, INC DBA ATHENA DIAGNOSTICS
  • Facility Address: 200 FOREST STREET 2ND FLOOR
    MARLBOROUGH, MA
    ZIP 01752
  • Facility Phone: 774 849-3128
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. VIVEKANANDA DATTA
  • NPI Number: 1023063062
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 22D0069726
LAB Type Independent
Facility Name BLUEPRINT GENETICS, INC DBA ATHENA DIAGNOSTICS
Street 200 FOREST STREET 2ND FLOOR
City MARLBOROUGH
State MA
ZIP 01752
Phone 774 849-3128
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Independent
Lab Director DR. VIVEKANANDA DATTA

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This page was last updated on: 3/20/2025