22D0859158 CLIA NUMBER - BRANDEIS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 22D0859158
  • Facility Name: BRANDEIS HEALTH CENTER
  • Facility Address: 415 SOUTH STREET MS034
    WALTHAM, MA
    ZIP 02454
  • Facility Phone: 781 736-3677
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: COLLEEN M. COLLINS
  • NPI Number: 1588025217
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0859158
LAB Type School/Student Health Service
Facility Name BRANDEIS HEALTH CENTER
Street 415 SOUTH STREET MS034
City WALTHAM
State MA
ZIP 02454
Phone 781 736-3677
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 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type School/Student Health Service
Lab Director COLLEEN M. COLLINS

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