22D2215026 CLIA NUMBER - MOUNT AUBURN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D2215026
  • Facility Name: MOUNT AUBURN PEDIATRICS
  • Facility Address: 725 CONCORD AVE STE 4200
    CAMBRIDGE, MA
    ZIP 02138
  • Facility Phone: 857 666-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAOMI S. PRIVER
  • NPI Number: 1538542006
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 22D2215026
LAB Type Physician Office
Facility Name MOUNT AUBURN PEDIATRICS
Street 725 CONCORD AVE STE 4200
City CAMBRIDGE
State MA
ZIP 02138
Phone 857 666-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director NAOMI S. PRIVER

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