22D2152090 CLIA NUMBER - NEEDHAM FAMILY PRACTICE ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 22D2152090
  • Facility Name: NEEDHAM FAMILY PRACTICE ASSOCIATES, PC
  • Facility Address: 1410 HIGHLAND AVE STE202
    NEEDHAM, MA
    ZIP 02492
  • Facility Phone: 781 444-5515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GERALD P. CORCORAN
  • NPI Number: 1255487120
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2152090
LAB Type Physician Office
Facility Name NEEDHAM FAMILY PRACTICE ASSOCIATES, PC
Street 1410 HIGHLAND AVE STE202
City NEEDHAM
State MA
ZIP 02492
Phone 781 444-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director DR. GERALD P. CORCORAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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