CLIA lab

CLIA 22D0077574: Mass General Brigham Primary Care

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

CLIA number 22D0077574 belongs to Mass General Brigham Primary Care in Medford, MA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 30, 1992
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
22D0077574
Lab name
Mass General Brigham Primary Care
Additional name
101 Main ST Ste 110
Address
101 Main St, Ste 110, Medford, MA 02155
Phone
(781) 391-4004
Fax
(781) 391-4003

Annual test volume the lab reported

Waived tests
5,000

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

Affiliated CLIA numbers

Other labs in Medford, MA

Related

Questions

What is the CLIA number for Mass General Brigham Primary Care in Medford?

22D0077574, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mass General Brigham Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D0077574 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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