22D1080264 CLIA NUMBER - LONGWOOD PLASTIC SURGERY PC

Laboratory Demographics

  • CLIA Code: 22D1080264
  • Facility Name: LONGWOOD PLASTIC SURGERY PC
  • Facility Address: 235 CYPRESS STREET SUITE 210
    BROOKLINE, MA
    ZIP 02445
  • Facility Phone: 617 383-6250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD MORRIS
  • NPI Number: 1316000995
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 22D1080264
LAB Type Physician Office
Facility Name LONGWOOD PLASTIC SURGERY PC
Street 235 CYPRESS STREET SUITE 210
City BROOKLINE
State MA
ZIP 02445
Phone 617 383-6250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DONALD MORRIS

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