22D2028265 CLIA NUMBER - PERSONAL HEALTH MD

Laboratory Demographics

  • CLIA Code: 22D2028265
  • Facility Name: PERSONAL HEALTH MD
  • Facility Address: 745 BOYLSTON STREET SUITE 600
    BOSTON, MA
    ZIP 02116
  • Facility Phone: 617 585-1500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD J. DONAHUE
  • NPI Number: 1528369600
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2028265
LAB Type Physician Office
Facility Name PERSONAL HEALTH MD
Street 745 BOYLSTON STREET SUITE 600
City BOSTON
State MA
ZIP 02116
Phone 617 585-1500
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 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director RICHARD J. DONAHUE

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