22D2017906 CLIA NUMBER - BRANDEIS EMERGENCY MEDICAL CORPS

Laboratory Demographics

  • CLIA Code: 22D2017906
  • Facility Name: BRANDEIS EMERGENCY MEDICAL CORPS
  • Facility Address: 415 SOUTH ST MS 210
    WALTHAM, MA
    ZIP 02453
  • Facility Phone: 781 736-4263
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: COLLEEN COLLINS
  • NPI Number: 1295126894
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 22D2017906
LAB Type Ambulance
Facility Name BRANDEIS EMERGENCY MEDICAL CORPS
Street 415 SOUTH ST MS 210
City WALTHAM
State MA
ZIP 02453
Phone 781 736-4263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Ambulance
Lab Director COLLEEN COLLINS

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