22D0885307 CLIA NUMBER - BAY STATE UROLOGISTS INC

Laboratory Demographics

  • CLIA Code: 22D0885307
  • Facility Name: BAY STATE UROLOGISTS INC
  • Facility Address: 521 MT AUBURN ST #201
    WATERTOWN, MA
    ZIP 02472
  • Facility Phone: 617 926-1200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: H DAVID MITCHESON MD
  • NPI Number: 1114928579
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 22D0885307
LAB Type Physician Office
Facility Name BAY STATE UROLOGISTS INC
Street 521 MT AUBURN ST #201
City WATERTOWN
State MA
ZIP 02472
Phone 617 926-1200
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 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director H DAVID MITCHESON MD

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