22D2174330 CLIA NUMBER - GREATER BOSTON UROLOGY

Laboratory Demographics

  • CLIA Code: 22D2174330
  • Facility Name: GREATER BOSTON UROLOGY
  • Facility Address: 700 ATTUCKS LANE UNIT 2A
    HYANNIS, MA
    ZIP 02601
  • Facility Phone: 508 540-7555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN KILLEEN
  • NPI Number: 1962820894
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 22D2174330
LAB Type Physician Office
Facility Name GREATER BOSTON UROLOGY
Street 700 ATTUCKS LANE UNIT 2A
City HYANNIS
State MA
ZIP 02601
Phone 508 540-7555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director KEVIN KILLEEN

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