22D2094792 CLIA NUMBER - DAVID AUGUST MD, LLC

Laboratory Demographics

  • CLIA Code: 22D2094792
  • Facility Name: DAVID AUGUST MD, LLC
  • Facility Address: 25 BOYLSTON ST STE 302
    CHESTNUT HILL, MA
    ZIP 02467
  • Facility Phone: 617 916-0895
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID AUGUST
  • NPI Number: 1760420079
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2094792
LAB Type Physician Office
Facility Name DAVID AUGUST MD, LLC
Street 25 BOYLSTON ST STE 302
City CHESTNUT HILL
State MA
ZIP 02467
Phone 617 916-0895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director DAVID AUGUST

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