22D0075589 CLIA NUMBER - JOSE E RUANO MD

Laboratory Demographics

  • CLIA Code: 22D0075589
  • Facility Name: JOSE E RUANO MD
  • Facility Address: 373 SOUTH HUNTINGTON AVENUE SUITE #2
    JAMAICA PLAIN, MA
    ZIP 02130
  • Facility Phone: 617 522-3330
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSE E. RUANO
  • NPI Number: 1417996406
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0075589
LAB Type Physician Office
Facility Name JOSE E RUANO MD
Street 373 SOUTH HUNTINGTON AVENUE SUITE #2
City JAMAICA PLAIN
State MA
ZIP 02130
Phone 617 522-3330
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOSE E. RUANO

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