CLIA lab
CLIA 22D1019450: Nicole H Boudreau MD PC
Brookline, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D1019450 belongs to Nicole H Boudreau MD PC in Brookline, MA.
Certificate for Provider-Performed Microscopy Procedures, effective November 19, 2025, expires November 18, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 19, 2025
- Certificate expiration
- November 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 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
- 22D1019450
- Lab name
- Nicole H Boudreau MD PC
- Address
- 1180 Beacon Street, Suite 2C, Brookline, MA 02446
- Phone
- (617) 739-1662
- Fax
- (617) 277-7311
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Brookline, MA
- Align Healthcare PLLCCertificate of Waiver, Other practitioner22D2276259
- All at Home Health Care, LLCCertificate of Waiver, Home health agency22D2027201
- Amory MedicalCertificate of Waiver, Physician office22D2179446
- Anjelica J Carbajal, MDCertificate for Provider-Performed Microscopy Procedures, Physician office22D2246177
- Arnold-Warfield Pain Center, BidmcCertificate of Waiver, Hospital22D1078945
- B I Deaconess Healthcare BrooklineCertificate for Provider-Performed Microscopy Procedures, Physician office22D0903487
- Beth Israel Health Care ApgCertificate of Waiver, Physician office22D0076963
- Beth Israel Lahey Health Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office22D2068425
- Boost Home Healthcare - Greater BostonCertificate of Waiver, Home health agency22D2328461
- Boston Childrens 2 Brookline PlaceCertificate of Waiver, Other22D2276872
Related
Questions
What is the CLIA number for Nicole H Boudreau MD PC in Brookline?
22D1019450, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nicole H Boudreau MD PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 22D1019450 expire?
The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.