22D0075458 CLIA NUMBER - HYDE PARK HEALTH ASSOC

Laboratory Demographics

  • CLIA Code: 22D0075458
  • Facility Name: HYDE PARK HEALTH ASSOC
  • Facility Address: 745 RIVER STREET
    HYDE PARK, MA
    ZIP 02136
  • Facility Phone: 617 364-0222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEAN BONNET
  • NPI Number: 1568127157
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D0075458
LAB Type Physician Office
Facility Name HYDE PARK HEALTH ASSOC
Street 745 RIVER STREET
City HYDE PARK
State MA
ZIP 02136
Phone 617 364-0222
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director JEAN BONNET

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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