22D1084460 CLIA NUMBER - MIMI YUM MD

Laboratory Demographics

  • CLIA Code: 22D1084460
  • Facility Name: MIMI YUM MD
  • Facility Address: ONE BROOKLINE PL, STE 423
    BROOKLINE, MA
    ZIP 02445
  • Facility Phone: 617 566-1535
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MIMI YUM MD
  • NPI Number: 1235112996
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 22D1084460
LAB Type Physician Office
Facility Name MIMI YUM MD
Street ONE BROOKLINE PL, STE 423
City BROOKLINE
State MA
ZIP 02445
Phone 617 566-1535
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 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director MIMI YUM MD

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