22D2304179 CLIA NUMBER - MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF NEUROLOGY

Laboratory Demographics

  • CLIA Code: 22D2304179
  • Facility Name: MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF NEUROLOGY
  • Facility Address: 149 13TH ST ROOM 10126
    CHARLESTOWN, MA
    ZIP 02129
  • Facility Phone: 617 726-0658
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: HERMINIA DIANA ROSAS
  • NPI Number: 1245306976
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 22D2304179
LAB Type Hospital
Facility Name MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF NEUROLOGY
Street 149 13TH ST ROOM 10126
City CHARLESTOWN
State MA
ZIP 02129
Phone 617 726-0658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Hospital
Lab Director HERMINIA DIANA ROSAS

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