22D1068503 CLIA NUMBER - BOSTON ADVANCED MEDICINE INC

Laboratory Demographics

  • CLIA Code: 22D1068503
  • Facility Name: BOSTON ADVANCED MEDICINE INC
  • Facility Address: 281 WINTER STREET, 2ND FLOOR
    WALTHAM, MA
    ZIP 02451
  • Facility Phone: 781 895-7969
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID DIBENEDETTO
  • NPI Number: 1437232485
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 22D1068503
LAB Type Physician Office
Facility Name BOSTON ADVANCED MEDICINE INC
Street 281 WINTER STREET, 2ND FLOOR
City WALTHAM
State MA
ZIP 02451
Phone 781 895-7969
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 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director DAVID DIBENEDETTO

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