CLIA lab
CLIA 22D2136520: Umass Memorial Bolton Primary Care
Bolton, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2136520 belongs to Umass Memorial Bolton Primary Care in Bolton, MA.
Certificate of Waiver, effective September 12, 2025, expires September 11, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 12, 2025
- Certificate expiration
- September 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 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
- 22D2136520
- Lab name
- Umass Memorial Bolton Primary Care
- Address
- 563 Main Street, Suite 3, Bolton, MA 01740
- Phone
- (978) 586-3939
- Fax
- (978) 586-3955
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bolton, MA
Related
Questions
What is the CLIA number for Umass Memorial Bolton Primary Care in Bolton?
22D2136520, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Umass Memorial Bolton Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2136520 expire?
The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.