CLIA lab

CLIA 22D2129512: Beth Israel Deaconess Health Care-Pembroke

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

CLIA number 22D2129512 belongs to Beth Israel Deaconess Health Care-Pembroke in Pembroke, MA.

Certificate for Provider-Performed Microscopy Procedures, effective April 20, 2025, expires April 19, 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 for Provider-Performed Microscopy Procedures
Certificate effective
April 20, 2025
Certificate expiration
April 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 20, 2017
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
22D2129512
Lab name
Beth Israel Deaconess Health Care-Pembroke
Address
295 Old Oak St, Pembroke, MA 02359
Phone
(508) 210-5964
Fax
(508) 210-5802

Annual test volume the lab reported

Waived tests
350
Provider-performed microscopy tests
100
Total
450

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 Beth Israel Deaconess Health Care-Pembroke in Pembroke?

22D2129512, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Beth Israel Deaconess Health Care-Pembroke hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 22D2129512 expire?

The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.

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