22D2320060 CLIA NUMBER - INNOVARE MEDICAL PC

Laboratory Demographics

  • CLIA Code: 22D2320060
  • Facility Name: INNOVARE MEDICAL PC
  • Facility Address: 1180 BEACON STREET SUITE 4A
    BROOKLINE, MA
    ZIP 02446
  • Facility Phone: 617 934-8493
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUA LU
  • NPI Number: 1184455438
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2320060
LAB Type Physician Office
Facility Name INNOVARE MEDICAL PC
Street 1180 BEACON STREET SUITE 4A
City BROOKLINE
State MA
ZIP 02446
Phone 617 934-8493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director HUA LU

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