22D1082215 CLIA NUMBER - MASS GENERAL IMAGING CHELSEA

Laboratory Demographics

  • CLIA Code: 22D1082215
  • Facility Name: MASS GENERAL IMAGING CHELSEA
  • Facility Address: 80 EVERETT AVENUE SUITE 115
    CHELSEA, MA
    ZIP 02150
  • Facility Phone: 617 887-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM MEHAN
  • NPI Number: 1982731006
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1082215
LAB Type Physician Office
Facility Name MASS GENERAL IMAGING CHELSEA
Street 80 EVERETT AVENUE SUITE 115
City CHELSEA
State MA
ZIP 02150
Phone 617 887-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director WILLIAM MEHAN

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