CLIA lab

CLIA 22D1080264: Longwood Plastic Surgery PC

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

CLIA number 22D1080264 belongs to Longwood Plastic Surgery PC in Brookline, MA.

Certificate of Waiver, effective December 14, 2024, expires December 13, 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 14, 2024
Certificate expiration
December 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
February 19, 2008
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
22D1080264
Lab name
Longwood Plastic Surgery PC
Address
235 Cypress Street Suite 210, Brookline, MA 02445
Phone
(617) 383-6250
Fax
(617) 383-6255

Annual test volume the lab reported

Waived tests
300

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 Longwood Plastic Surgery PC in Brookline?

22D1080264, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Longwood Plastic Surgery PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D1080264 expire?

The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.

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