CLIA lab

CLIA 22D2129028: Gavin House

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

CLIA number 22D2129028 belongs to Gavin House in Boston, MA.

Certificate of Waiver, effective April 11, 2025, expires April 10, 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
April 11, 2025
Certificate expiration
April 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 11, 2017
Facility type
Other practitioner
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
22D2129028
Lab name
Gavin House
Address
675 East Fourth St, Boston, MA 02127
Phone
(617) 268-5000
Fax
(617) 268-5008

Annual test volume the lab reported

Waived tests
75

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Boston, MA

Related

Questions

What is the CLIA number for Gavin House in Boston?

22D2129028, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gavin House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D2129028 expire?

The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.

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