22D2315095 CLIA NUMBER - MASS GENERAL BRIGHAM AMBULANCE SERVICES

Laboratory Demographics

  • CLIA Code: 22D2315095
  • Facility Name: MASS GENERAL BRIGHAM AMBULANCE SERVICES
  • Facility Address: 1575 CAMBRIDGE ST
    CAMBRIDGE, MA
    ZIP 02138
  • Facility Phone: 617 758-5477
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SEAN M. KUKAUSKAS
  • NPI Number: 1194458752
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D2315095
LAB Type Ambulance
Facility Name MASS GENERAL BRIGHAM AMBULANCE SERVICES
Street 1575 CAMBRIDGE ST
City CAMBRIDGE
State MA
ZIP 02138
Phone 617 758-5477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Ambulance
Lab Director SEAN M. KUKAUSKAS

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