22D1056013 CLIA NUMBER - DANIEL DRISCOLL-NEPONSET HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 22D1056013
  • Facility Name: DANIEL DRISCOLL-NEPONSET HEALTH CENTER
  • Facility Address: 398 NEPONSET AVE
    DORCHESTER, MA
    ZIP 02122
  • Facility Phone: 617 282-3200
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JEFFREY MARKUNS
  • NPI Number: 1881692366
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1056013
LAB Type Community Clinic
Facility Name DANIEL DRISCOLL-NEPONSET HEALTH CENTER
Street 398 NEPONSET AVE
City DORCHESTER
State MA
ZIP 02122
Phone 617 282-3200
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 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Community Clinic
Lab Director JEFFREY MARKUNS

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