22D2048352 CLIA NUMBER - MASSACHUSETTS EYE AND EAR, LONGWOOD

Laboratory Demographics

  • CLIA Code: 22D2048352
  • Facility Name: MASSACHUSETTS EYE AND EAR, LONGWOOD
  • Facility Address: 800 HUNTINGTON AVENUE
    BOSTON, MA
    ZIP 02115
  • Facility Phone: 617 936-6100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ARTEM GRUSH
  • NPI Number: 1164063707
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 22D2048352
LAB Type Ambulatory Surgery Center
Facility Name MASSACHUSETTS EYE AND EAR, LONGWOOD
Street 800 HUNTINGTON AVENUE
City BOSTON
State MA
ZIP 02115
Phone 617 936-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director ARTEM GRUSH

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