CLIA lab
CLIA 22D1054480: Mount Auburn Pediatrics at Beaver Brook
Waltham, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D1054480 belongs to Mount Auburn Pediatrics at Beaver Brook in Waltham, MA.
Certificate of Waiver, effective December 10, 2024, expires December 9, 2026.
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
- December 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 23, 2006
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 22D1054480
- Lab name
- Mount Auburn Pediatrics at Beaver Brook
- Address
- 355 Waverly Oaks Road, Ste 125, Waltham, MA 02452
- Phone
- (781) 891-3706
- Fax
- (781) 891-3564
Annual test volume the lab reported
- Waived tests
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adult & Pediatric Dermatology, PCCertificate for Provider-Performed Microscopy Procedures, Physician office22D2148460
- Afc Urgent Care North WalthamCertificate of Waiver, Other22D2317895
- Bentley University Health CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service22D0874600
- Beth Israel Deaconess Healthcare - WalthamCertificate of Waiver, Physician office22D2098393
- Beth Israel Lahey Health Primary Care WalthamCertificate of Waiver, Physician office22D2204995
- Boston Advanced Medicine IncCertificate of Compliance, Physician office22D1068503
- Boston Children's Hospital at WalthamCertificate of Accreditation, Hospital22D2056434
- Boston Eye Surgery and Laser Center - WestCertificate of Waiver, Ambulatory surgery center22D1057772
- Boston IvfCertificate of Waiver, Ambulatory surgery center22D0913383
Related
Questions
What is the CLIA number for Mount Auburn Pediatrics at Beaver Brook in Waltham?
22D1054480, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mount Auburn Pediatrics at Beaver Brook hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D1054480 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.