22D2102972 CLIA NUMBER - OPHTHALMIC CONSULTANTS OF BOSTON

Laboratory Demographics

  • CLIA Code: 22D2102972
  • Facility Name: OPHTHALMIC CONSULTANTS OF BOSTON
  • Facility Address: 625 MOUNT AUBURN ST STE 100
    CAMBRIDGE, MA
    ZIP 02138
  • Facility Phone: 617 314-2640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODY K. JUDGE
  • NPI Number: 1922337393
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 22D2102972
LAB Type Physician Office
Facility Name OPHTHALMIC CONSULTANTS OF BOSTON
Street 625 MOUNT AUBURN ST STE 100
City CAMBRIDGE
State MA
ZIP 02138
Phone 617 314-2640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Physician Office
Lab Director JODY K. JUDGE

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This page was last updated on: 3/20/2025