22D2253860 CLIA NUMBER - MGB HOME HOSPITAL

Laboratory Demographics

  • CLIA Code: 22D2253860
  • Facility Name: MGB HOME HOSPITAL
  • Facility Address: 1575 CAMBRIDGE STREET
    CAMBRIDGE, MA
    ZIP 02138
  • Facility Phone: 817 304-2350
  • Facility Type: Other - LABORATORY
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RYAN M. MIZE
  • NPI Number: 1083644017
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2253860
LAB Type Other - LABORATORY
Facility Name MGB HOME HOSPITAL
Street 1575 CAMBRIDGE STREET
City CAMBRIDGE
State MA
ZIP 02138
Phone 817 304-2350
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - LABORATORY
Lab Director DR. RYAN M. MIZE

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