22D2246175 CLIA NUMBER - PHOEBE B MITCHELL, MD

Laboratory Demographics

  • CLIA Code: 22D2246175
  • Facility Name: PHOEBE B MITCHELL, MD
  • Facility Address: 1 BROOKLINE PLACE SUITE 423
    BROOKLINE, MA
    ZIP 02445
  • Facility Phone: 617 566-1535
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHOEBE MITCHELL
  • NPI Number: 1861140790
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 22D2246175
LAB Type Physician Office
Facility Name PHOEBE B MITCHELL, MD
Street 1 BROOKLINE PLACE SUITE 423
City BROOKLINE
State MA
ZIP 02445
Phone 617 566-1535
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 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director PHOEBE MITCHELL

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