22D2057207 CLIA NUMBER - BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC

Laboratory Demographics

  • CLIA Code: 22D2057207
  • Facility Name: BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC
  • Facility Address: 92 MONTVALE AVENUE SUITE 3675
    STONEHAM, MA
    ZIP 02180
  • Facility Phone: 781 438-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANT PARSEGHIAN
  • NPI Number: 1598741324
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 22D2057207
LAB Type Physician Office
Facility Name BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC
Street 92 MONTVALE AVENUE SUITE 3675
City STONEHAM
State MA
ZIP 02180
Phone 781 438-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director SHANT PARSEGHIAN

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