22D2220865 CLIA NUMBER - MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 22D2220865
  • Facility Name: MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS
  • Facility Address: 47 MIDDLESEX TURNPIKE
    BURLINGTON, MA
    ZIP 01803
  • Facility Phone: (781) 653-0100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHY G. NIKNEJAD
  • NPI Number: 1639773039
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2220865
LAB Type Physician Office
Facility Name MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS
Street 47 MIDDLESEX TURNPIKE
City BURLINGTON
State MA
ZIP 01803
Phone 7816530100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director KATHY G. NIKNEJAD

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This page was last updated on: 5/18/2026