22D2287917 CLIA NUMBER - MASS GENERAL UROLOGY - WALTHAM

Laboratory Demographics

  • CLIA Code: 22D2287917
  • Facility Name: MASS GENERAL UROLOGY - WALTHAM
  • Facility Address: 52 2ND AVENUE, 3RD FLOOR - BLUE BUILDING
    WALTHAM, MA
    ZIP 02451
  • Facility Phone: 617 525-7372
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM STUART KIBEL
  • NPI Number: 1740713288
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2287917
LAB Type Physician Office
Facility Name MASS GENERAL UROLOGY - WALTHAM
Street 52 2ND AVENUE, 3RD FLOOR - BLUE BUILDING
City WALTHAM
State MA
ZIP 02451
Phone 617 525-7372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director ADAM STUART KIBEL

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