22D2299971 CLIA NUMBER - BRIGHAM AND WOMEN'S FAULKNER HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 22D2299971
  • Facility Name: BRIGHAM AND WOMEN'S FAULKNER HOSPITAL LABORATORY
  • Facility Address: 1153 CENTRE STREET, ROOM NUMBER 1711
    JAMAICA PLAIN, MA
    ZIP 02130
  • Facility Phone: 617 983-7115
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. TAD J. WIECZOREK
  • NPI Number: 1578549507
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 22D2299971
LAB Type Hospital
Facility Name BRIGHAM AND WOMEN'S FAULKNER HOSPITAL LABORATORY
Street 1153 CENTRE STREET, ROOM NUMBER 1711
City JAMAICA PLAIN
State MA
ZIP 02130
Phone 617 983-7115
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Hospital
Lab Director DR. TAD J. WIECZOREK

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