22D2080801 CLIA NUMBER - BROOKLINE DERMATOLOGY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 22D2080801
  • Facility Name: BROOKLINE DERMATOLOGY ASSOCIATES PC
  • Facility Address: 1208B VFW PARKWAY STE 200
    WEST ROXBURY, MA
    ZIP 02132
  • Facility Phone: 617 608-1575
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEVEN P. SMITH
  • NPI Number: 1811399025
  • Taxonomy: 207ND0101X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2080801
LAB Type Physician Office
Facility Name BROOKLINE DERMATOLOGY ASSOCIATES PC
Street 1208B VFW PARKWAY STE 200
City WEST ROXBURY
State MA
ZIP 02132
Phone 617 608-1575
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 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director STEVEN P. SMITH

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: 3/20/2025