CLIA lab
CLIA 22D1017936: Revere Medical Nashoba Family Medicine
Groton, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D1017936 belongs to Revere Medical Nashoba Family Medicine in Groton, MA.
Certificate of Waiver, effective October 9, 2025, expires October 8, 2027.
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
- October 9, 2025
- Certificate expiration
- October 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 9, 2003
- 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
- 22D1017936
- Lab name
- Revere Medical Nashoba Family Medicine
- Address
- 788 Boston Road, Groton, MA 01450
- Phone
- (978) 449-0282
- Fax
- (844) 828-7287
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.
Other labs in Groton, MA
- Emerson Health Primary Care GrotonCertificate of Waiver, Physician office22D2277183
- Groton Dunstable Regional School DistrictCertificate of Waiver, School or student health service22D2204791
- Groton Fire DepartmentCertificate of Waiver, Ambulance22D2332852
- Lawrence Academy Health CenterCertificate of Waiver, School or student health service22D2169700
- Nashoba Springs Recovery CenterCertificate of Waiver, Ancillary test site22D2332395
- Pediatrics West - Groton OfficeCertificate of Waiver, Physician office22D0979114
- Revere Medical Groton Internal MedicineCertificate of Waiver, Physician office22D0068671
- Seven Hills at GrotonCertificate of Waiver, Skilled nursing or nursing facility22D0068748
Related
Questions
What is the CLIA number for Revere Medical Nashoba Family Medicine in Groton?
22D1017936, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revere Medical Nashoba Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D1017936 expire?
The CMS file lists October 8, 2027 as the certificate expiration date; the certificate took effect October 9, 2025.