22D2133377 CLIA NUMBER - BOSTON PAIN SPECIALIST PC

Laboratory Demographics

  • CLIA Code: 22D2133377
  • Facility Name: BOSTON PAIN SPECIALIST PC
  • Facility Address: 50 ROWE STREET UNIT 100
    MELROSE, MA
    ZIP 02176
  • Facility Phone: 781 662-7243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SASA PERISKIC
  • NPI Number: 1598951543
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2133377
LAB Type Physician Office
Facility Name BOSTON PAIN SPECIALIST PC
Street 50 ROWE STREET UNIT 100
City MELROSE
State MA
ZIP 02176
Phone 781 662-7243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director SASA PERISKIC

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