22D2267715 CLIA NUMBER - ONE MEDICAL

Laboratory Demographics

  • CLIA Code: 22D2267715
  • Facility Name: ONE MEDICAL
  • Facility Address: 50 STANIFORD STREET
    BOSTON, MA
    ZIP 02114
  • Facility Phone: 617 903-5000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SHIUNRU CHEN
  • NPI Number: 1265094122
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2267715
LAB Type Physician Office
Facility Name ONE MEDICAL
Street 50 STANIFORD STREET
City BOSTON
State MA
ZIP 02114
Phone 617 903-5000
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 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director DR. SHIUNRU CHEN

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