22D2053051 CLIA NUMBER - CORNERSTONE MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 22D2053051
  • Facility Name: CORNERSTONE MEDICAL GROUP LLC
  • Facility Address: 1101 BEACON STREET SUITE 2W
    BROOKLINE, MA
    ZIP 02446
  • Facility Phone: 617 731-6334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN R. BLUMBERG
  • NPI Number: 1366797771
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2053051
LAB Type Physician Office
Facility Name CORNERSTONE MEDICAL GROUP LLC
Street 1101 BEACON STREET SUITE 2W
City BROOKLINE
State MA
ZIP 02446
Phone 617 731-6334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director JONATHAN R. BLUMBERG

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