22D2055548 CLIA NUMBER - MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 22D2055548
  • Facility Name: MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS, INC
  • Facility Address: 370 MERRIMACK STREET
    LAWRENCE, MA
    ZIP 01843
  • Facility Phone: 978 557-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARRETT BOMBA
  • NPI Number: 1487163069
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2055548
LAB Type Physician Office
Facility Name MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS, INC
Street 370 MERRIMACK STREET
City LAWRENCE
State MA
ZIP 01843
Phone 978 557-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director GARRETT BOMBA

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