22D2076773 CLIA NUMBER - ANDREW BOTT, MD

Laboratory Demographics

  • CLIA Code: 22D2076773
  • Facility Name: ANDREW BOTT, MD
  • Facility Address: 1458 HANCOCK STREET
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 774 319-1621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW BOTT
  • NPI Number: 1982636403
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2076773
LAB Type Physician Office
Facility Name ANDREW BOTT, MD
Street 1458 HANCOCK STREET
City QUINCY
State MA
ZIP 02169
Phone 774 319-1621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director ANDREW BOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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