CLIA lab

CLIA 22D0068671: Revere Medical Groton Internal Medicine

Groton, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 22D0068671 belongs to Revere Medical Groton Internal Medicine in Groton, MA.

Certificate of Waiver, effective July 26, 2026, expires July 25, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 26, 2026
Certificate expiration
July 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
22D0068671
Lab name
Revere Medical Groton Internal Medicine
Address
497 Main Street, 4B Mill Run Plaza, Groton, MA 01450
Phone
(978) 449-0471
Fax
(339) 238-7472

Annual test volume the lab reported

Waived tests
750

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Revere Medical Groton Internal Medicine in Groton?

22D0068671, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Revere Medical Groton Internal Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D0068671 expire?

The CMS file lists July 25, 2028 as the certificate expiration date; the certificate took effect July 26, 2026.

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