22D0913122 CLIA NUMBER - HARVARD UNIV MEDICAL AREA HLTH SERVICE

Laboratory Demographics

  • CLIA Code: 22D0913122
  • Facility Name: HARVARD UNIV MEDICAL AREA HLTH SERVICE
  • Facility Address: 275 LONGWOOD AVENUE
    BOSTON, MA
    ZIP 02115
  • Facility Phone: 617 432-1370
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: PETER J. MASSICOTT MD
  • NPI Number: 1043767577
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0913122
LAB Type Community Clinic
Facility Name HARVARD UNIV MEDICAL AREA HLTH SERVICE
Street 275 LONGWOOD AVENUE
City BOSTON
State MA
ZIP 02115
Phone 617 432-1370
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 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Community Clinic
Lab Director PETER J. MASSICOTT MD

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