22D2063384 CLIA NUMBER - BEACON PATHOLOGY LLC

Laboratory Demographics

  • CLIA Code: 22D2063384
  • Facility Name: BEACON PATHOLOGY LLC
  • Facility Address: 35 BROOKFIELD ROAD
    DOVER, MA
    ZIP 02030
  • Facility Phone: 617 314-5976
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ALIREZA SEPEHR
  • NPI Number: 1376914531
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 22D2063384
LAB Type Independent
Facility Name BEACON PATHOLOGY LLC
Street 35 BROOKFIELD ROAD
City DOVER
State MA
ZIP 02030
Phone 617 314-5976
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Independent
Lab Director ALIREZA SEPEHR

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