22D0984799 CLIA NUMBER - WILLIAM E GOLDBERG MD

Laboratory Demographics

  • CLIA Code: 22D0984799
  • Facility Name: WILLIAM E GOLDBERG MD
  • Facility Address: 1101 BEACON STREET SUITE 2 WEST
    BROOKLINE, MA
    ZIP 02446
  • Facility Phone: 617 731-4400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM E. GOLDBERG
  • NPI Number: 1558336180
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0984799
LAB Type Physician Office
Facility Name WILLIAM E GOLDBERG MD
Street 1101 BEACON STREET SUITE 2 WEST
City BROOKLINE
State MA
ZIP 02446
Phone 617 731-4400
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 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director WILLIAM E. GOLDBERG

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