22D2322192 CLIA NUMBER - BROOKLINE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 22D2322192
  • Facility Name: BROOKLINE DERMATOLOGY
  • Facility Address: 235 CYPRESS STREET #200
    BROOKLINE, MA
    ZIP 02445
  • Facility Phone: 978 691-5690
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROBB J. MARCHIONE
  • NPI Number: 1962880153
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 22D2322192
LAB Type Physician Office
Facility Name BROOKLINE DERMATOLOGY
Street 235 CYPRESS STREET #200
City BROOKLINE
State MA
ZIP 02445
Phone 978 691-5690
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 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director DR. ROBB J. MARCHIONE

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