22D2051210 CLIA NUMBER - BOSTON CENTER FOR MEMORY

Laboratory Demographics

  • CLIA Code: 22D2051210
  • Facility Name: BOSTON CENTER FOR MEMORY
  • Facility Address: 180 WELLS AVENUE, SUITE 304
    NEWTON, MA
    ZIP 02459
  • Facility Phone: 617 699-6927
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: T BRITTON PERCY
  • NPI Number: 1609142017
  • Taxonomy: 2084B0040X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 22D2051210
LAB Type Physician Office
Facility Name BOSTON CENTER FOR MEMORY
Street 180 WELLS AVENUE, SUITE 304
City NEWTON
State MA
ZIP 02459
Phone 617 699-6927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director T BRITTON PERCY

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