22D0705514 CLIA NUMBER - BREWER NYSTUEN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0705514
  • Facility Name: BREWER NYSTUEN PEDIATRICS
  • Facility Address: 548 LEBANON STREET
    MELROSE, MA
    ZIP 02176
  • Facility Phone: 781 665-4364
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW BREWER MD
  • NPI Number: 1104034065
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D0705514
LAB Type Physician Office
Facility Name BREWER NYSTUEN PEDIATRICS
Street 548 LEBANON STREET
City MELROSE
State MA
ZIP 02176
Phone 781 665-4364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MATTHEW BREWER MD

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