22D2095561 CLIA NUMBER - EMERSON COLLEGE, CENTER FOR HEATLH & WELLNESS

Laboratory Demographics

CLIA Code: 22D2095561
Facility Name: EMERSON COLLEGE, CENTER FOR HEATLH & WELLNESS
Facility Address: 216 TREMONT ST RM 303
BOSTON, MA
ZIP 02116
Facility Phone: 000 617-8248
Facility Type: School/Student Health Service
Facility Type: Microscopy
Lab Director: MARY JANE POWERS
NPI Number: 1487850459
Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name	Field Value
CLIA Number	22D2095561
LAB Type	School/Student Health Service
Facility Name	EMERSON COLLEGE, CENTER FOR HEATLH & WELLNESS
Street	216 TREMONT ST RM 303
City	BOSTON
State	MA
ZIP	02116
Phone	000 617-8248
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	5/7/2025
Certificate Expiration Date	5/6/2027
Facility Type	School/Student Health Service
Lab Director	MARY JANE POWERS

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