CLIA lab
CLIA 22D2109830: Beth Israel Deaconess Health Care-Andover Primary
Andover, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2109830 belongs to Beth Israel Deaconess Health Care-Andover Primary in Andover, MA.
Certificate of Waiver, effective March 3, 2026, expires March 2, 2028.
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
- March 3, 2026
- Certificate expiration
- March 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 3, 2016
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 22D2109830
- Lab name
- Beth Israel Deaconess Health Care-Andover Primary
- Address
- 63 Park St, Andover, MA 01810
- Phone
- (978) 256-4121
- Fax
- (978) 250-3210
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Andover Manor Rehab and Nursing LLCCertificate of Waiver, Skilled nursing or nursing facility22D0071277
- Andover Obstetrics & Gynecological Associates PCCertificate of Compliance, Physician office22D0071283
- Andover Public SchoolsCertificate of Waiver, School or student health service22D2276462
- Atria Senior Living - Marland PlaceCertificate of Waiver, Assisted living facility22D2207637
- Beyond Healthcare Agency LLCCertificate of Waiver, Home health agency22D2024792
- CSH Andover Lesee, LLCCertificate of Waiver, Assisted living facility22D2197224
Related
Questions
What is the CLIA number for Beth Israel Deaconess Health Care-Andover Primary in Andover?
22D2109830, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beth Israel Deaconess Health Care-Andover Primary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2109830 expire?
The CMS file lists March 2, 2028 as the certificate expiration date; the certificate took effect March 3, 2026.