22D0944425 CLIA NUMBER - MASS GENERAL DIABETES CENTER

Laboratory Demographics

  • CLIA Code: 22D0944425
  • Facility Name: MASS GENERAL DIABETES CENTER
  • Facility Address: 50 STANIFORD ST STE 340
    BOSTON, MA
    ZIP 02114
  • Facility Phone: 617 726-2875
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID M. NATHAN
  • NPI Number: 1710070313
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0944425
LAB Type Physician Office
Facility Name MASS GENERAL DIABETES CENTER
Street 50 STANIFORD ST STE 340
City BOSTON
State MA
ZIP 02114
Phone 617 726-2875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director DAVID M. NATHAN

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