22D0075241 CLIA NUMBER - SKIN PATHOLOGY LABORATORY INC

Laboratory Demographics

  • CLIA Code: 22D0075241
  • Facility Name: SKIN PATHOLOGY LABORATORY INC
  • Facility Address: 609 ALBANY STREET STE J-309
    BOSTON, MA
    ZIP 02118
  • Facility Phone: 617 358-9740
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JAG BHAWAN
  • NPI Number: 1073648069
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D0075241
LAB Type Independent
Facility Name SKIN PATHOLOGY LABORATORY INC
Street 609 ALBANY STREET STE J-309
City BOSTON
State MA
ZIP 02118
Phone 617 358-9740
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Independent
Lab Director JAG BHAWAN

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This page was last updated on: 9/29/2025