22D2117392 CLIA NUMBER - HARVARD DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 22D2117392
  • Facility Name: HARVARD DENTAL CENTER
  • Facility Address: 188 LONGWOOD AVENUE
    BOSTON, MA
    ZIP 02115
  • Facility Phone: 617 432-1434
  • Facility Type: Other - DENTAL SCHOOL
  • Facility Type: Waiver
  • Lab Director: JOHN D. DASILVA
  • NPI Number: 1932309366
  • Taxonomy: 1223P0700X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D2117392
LAB Type Other - DENTAL SCHOOL
Facility Name HARVARD DENTAL CENTER
Street 188 LONGWOOD AVENUE
City BOSTON
State MA
ZIP 02115
Phone 617 432-1434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Other - DENTAL SCHOOL
Lab Director JOHN D. DASILVA

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