22D2325973 CLIA NUMBER - BRAIN ENERGY, PLLC

Laboratory Demographics

  • CLIA Code: 22D2325973
  • Facility Name: BRAIN ENERGY, PLLC
  • Facility Address: 30 WASHINGTON STREET
    WELLESLEY, MA
    ZIP 02481
  • Facility Phone: 617 675-6602
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER M. PALMER
  • NPI Number: 1376438382
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 22D2325973
LAB Type Physician Office
Facility Name BRAIN ENERGY, PLLC
Street 30 WASHINGTON STREET
City WELLESLEY
State MA
ZIP 02481
Phone 617 675-6602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director CHRISTOPHER M. PALMER

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