22D0991559 CLIA NUMBER - BETH R HARDIMAN, MD

Laboratory Demographics

CLIA Number: 22D0991559

Facility Name: BETH R HARDIMAN, MD

Facility Address:
300 MOUNT AUBURN STREET SUITE 313
CAMBRIDGE, MA
ZIP 02238
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Facility Phone Number: 617 497-9500

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1104917533

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	22D0991559
LAB Type	Physician Office
Facility Name	BETH R HARDIMAN, MD
Street	300 MOUNT AUBURN STREET SUITE 313
City	CAMBRIDGE
State	MA
ZIP	02238
Phone	617 497-9500
CertificateType	3
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024