22D1049893 CLIA NUMBER - MASS GENERAL DERMATOLOGY SURGERY

Laboratory Demographics

  • CLIA Code: 22D1049893
  • Facility Name: MASS GENERAL DERMATOLOGY SURGERY
  • Facility Address: 50 STANIFORD STREET
    BOSTON, MA
    ZIP 02114
  • Facility Phone: 617 726-1869
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: VICTOR A. NEEL
  • NPI Number: 1669666541
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 22D1049893
LAB Type Physician Office
Facility Name MASS GENERAL DERMATOLOGY SURGERY
Street 50 STANIFORD STREET
City BOSTON
State MA
ZIP 02114
Phone 617 726-1869
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director VICTOR A. NEEL

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