22D2237588 CLIA NUMBER - BOSTON NEURO RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 22D2237588
  • Facility Name: BOSTON NEURO RESEARCH CENTER
  • Facility Address: 237 STATE ROAD
    NORTH DARTMOUTH, MA
    ZIP 02747
  • Facility Phone: 508 925-7403
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUSHTAQUE A. CHACHAR
  • NPI Number: 1558415307
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 22D2237588
LAB Type Physician Office
Facility Name BOSTON NEURO RESEARCH CENTER
Street 237 STATE ROAD
City NORTH DARTMOUTH
State MA
ZIP 02747
Phone 508 925-7403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director MUSHTAQUE A. CHACHAR

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