22D1063493 CLIA NUMBER - GREATER BOSTON INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 22D1063493
  • Facility Name: GREATER BOSTON INTERNAL MEDICINE PC
  • Facility Address: 200 PROVIDENCE HIGHWAY, SUITE 203
    DEDHAM, MA
    ZIP 02026
  • Facility Phone: (781) 326-1464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGOSTINO IARROBINO JR,
  • NPI Number: 1659436814
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1063493
LAB Type Physician Office
Facility Name GREATER BOSTON INTERNAL MEDICINE PC
Street 200 PROVIDENCE HIGHWAY, SUITE 203
City DEDHAM
State MA
ZIP 02026
Phone 7813261464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director AGOSTINO IARROBINO JR,

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This page was last updated on: 5/18/2026