22D0954962 CLIA NUMBER - BRIGHAM AND WOMENS HOSPITAL BRIGHAM DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D0954962
  • Facility Name: BRIGHAM AND WOMENS HOSPITAL BRIGHAM DERMATOLOGY ASSOCIATES
  • Facility Address: 221 LONGWOOD AVE
    BOSTON, MA
    ZIP 02115
  • Facility Phone: 617 732-4918
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELIZABETH BUZNEY
  • NPI Number: 1083647648
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D0954962
LAB Type Physician Office
Facility Name BRIGHAM AND WOMENS HOSPITAL BRIGHAM DERMATOLOGY ASSOCIATES
Street 221 LONGWOOD AVE
City BOSTON
State MA
ZIP 02115
Phone 617 732-4918
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 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director ELIZABETH BUZNEY

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