22D2245798 CLIA NUMBER - BRAVO PHARMACY

Laboratory Demographics

  • CLIA Code: 22D2245798
  • Facility Name: BRAVO PHARMACY
  • Facility Address: 309 MAIN ST
    WATERTOWN, MA
    ZIP 02472
  • Facility Phone: 617 553-2501
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIS KARANXHA
  • NPI Number: 1699154427
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2245798
LAB Type Pharmacy
Facility Name BRAVO PHARMACY
Street 309 MAIN ST
City WATERTOWN
State MA
ZIP 02472
Phone 617 553-2501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Pharmacy
Lab Director ERIS KARANXHA

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