CLIA lab
CLIA 22D2033404: Revere Medical Group Brockton 1M - 2400
Brockton, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2033404 belongs to Revere Medical Group Brockton 1M - 2400 in Brockton, MA.
Certificate of Waiver, effective December 1, 2025, expires November 30, 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
- December 1, 2025
- Certificate expiration
- November 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 2011
- 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
- 22D2033404
- Lab name
- Revere Medical Group Brockton 1M - 2400
- Address
- 1 Pearl St Ste 2400, Brockton, MA 02301
- Phone
- (508) 897-6130
- Fax
- (508) 897-6129
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Analia Home Health Care Services LLCCertificate of Waiver, Home health agency22D2160382
- Aqeel M Siddiqui MD, LTDCertificate of Waiver, Physician office22D2263184
- Asthma & Allergy Physicians, LLCCertificate of Waiver, Physician office22D0080406
- BMC Health Pulmonary BrocktonCertificate of Waiver, Physician office22D2329324
- BMC South Brockton Behavioral Health CenterCertificate of Waiver, Hospital22D2268878
- Bethel Medical GroupCertificate of Waiver, Physician office22D0080387
- Boston Medical Center-SouthCertificate of Accreditation, Hospital22D0080440
Related
Questions
What is the CLIA number for Revere Medical Group Brockton 1M - 2400 in Brockton?
22D2033404, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revere Medical Group Brockton 1M - 2400 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2033404 expire?
The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.