22D0686370 CLIA NUMBER - DERMASAP/ID OF QUINCY

Laboratory Demographics

  • CLIA Code: 22D0686370
  • Facility Name: DERMASAP/ID OF QUINCY
  • Facility Address: 104 QUARRY STREET, SUITE 2
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 617 472-6764
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTINA M. CORRENTI
  • NPI Number: 1295775732
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D0686370
LAB Type Physician Office
Facility Name DERMASAP/ID OF QUINCY
Street 104 QUARRY STREET, SUITE 2
City QUINCY
State MA
ZIP 02169
Phone 617 472-6764
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 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director CHRISTINA M. CORRENTI

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