22D0666316 CLIA NUMBER - CODMAN SQUARE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 22D0666316
  • Facility Name: CODMAN SQUARE HEALTH CENTER
  • Facility Address: 637 WASHINGTON STREET 1ST FLOOR LABORATORY
    DORCHESTER, MA
    ZIP 02124
  • Facility Phone: 617 822-8111
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Accreditation
  • Lab Director: YACHANA KATARIA
  • NPI Number: 1437328648
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D0666316
LAB Type Federally Qualified Health Center
Facility Name CODMAN SQUARE HEALTH CENTER
Street 637 WASHINGTON STREET 1ST FLOOR LABORATORY
City DORCHESTER
State MA
ZIP 02124
Phone 617 822-8111
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 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Federally Qualified Health Center
Lab Director YACHANA KATARIA

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