22D0969436 CLIA NUMBER - MASS GENERAL BULFINCH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 22D0969436
  • Facility Name: MASS GENERAL BULFINCH MEDICAL GROUP
  • Facility Address: 50 STANIFORD STREET SUITE 900
    BOSTON, MA
    ZIP 02114
  • Facility Phone: 617 724-6403
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARINA P. SPENCER
  • NPI Number: 1306186523
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 22D0969436
LAB Type Physician Office
Facility Name MASS GENERAL BULFINCH MEDICAL GROUP
Street 50 STANIFORD STREET SUITE 900
City BOSTON
State MA
ZIP 02114
Phone 617 724-6403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director CARINA P. SPENCER

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