22D2316367 CLIA NUMBER - DERMATOLOGY, LASER & AESTHETICS, PLLC

Laboratory Demographics

  • CLIA Code: 22D2316367
  • Facility Name: DERMATOLOGY, LASER & AESTHETICS, PLLC
  • Facility Address: 745 BOYLSTON STREET, SUITE 203
    BOSTON, MA
    ZIP 02116
  • Facility Phone: 617 895-6086
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CATHERINE M. DIGIORGIO
  • NPI Number: 1366128159
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2316367
LAB Type Physician Office
Facility Name DERMATOLOGY, LASER & AESTHETICS, PLLC
Street 745 BOYLSTON STREET, SUITE 203
City BOSTON
State MA
ZIP 02116
Phone 617 895-6086
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 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director DR. CATHERINE M. DIGIORGIO

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