22D0668153 CLIA NUMBER - USCG BOSTON

Laboratory Demographics

  • CLIA Code: 22D0668153
  • Facility Name: USCG BOSTON
  • Facility Address: 427 COMMERCIAL STREET BLD 8, 3RD DECK
    BOSTON, MA
    ZIP 02109
  • Facility Phone: 609 898-6544
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LT AMANDA G. BENSON
  • NPI Number: 1801087580
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0668153
LAB Type Federally Qualified Health Center
Facility Name USCG BOSTON
Street 427 COMMERCIAL STREET BLD 8, 3RD DECK
City BOSTON
State MA
ZIP 02109
Phone 609 898-6544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Federally Qualified Health Center
Lab Director LT AMANDA G. BENSON

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