22D2179446 CLIA NUMBER - AMORY MEDICAL

Laboratory Demographics

  • CLIA Code: 22D2179446
  • Facility Name: AMORY MEDICAL
  • Facility Address: 1101 BEACON STREET STE 2 WEST
    BROOKLINE, MA
    ZIP 02446
  • Facility Phone: 617 731-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHANNA H. KLEIN
  • NPI Number: 1912544453
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2179446
LAB Type Physician Office
Facility Name AMORY MEDICAL
Street 1101 BEACON STREET STE 2 WEST
City BROOKLINE
State MA
ZIP 02446
Phone 617 731-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director JOHANNA H. KLEIN

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