CLIA lab

CLIA 22D2171287: Mass General Brigham Primary Care 101 Main ST

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

CLIA number 22D2171287 belongs to Mass General Brigham Primary Care 101 Main ST in Medford, MA.

Certificate of Waiver, effective August 28, 2025, expires August 27, 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
August 28, 2025
Certificate expiration
August 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 28, 2019
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
22D2171287
Lab name
Mass General Brigham Primary Care 101 Main ST
Additional name
Ste 107
Address
101 Main Street, Suite 107, Medford, MA 02155
Phone
(781) 874-0175

Annual test volume the lab reported

Waived tests
3,000

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

Affiliated CLIA numbers

Other labs in Medford, MA

Related

Questions

What is the CLIA number for Mass General Brigham Primary Care 101 Main ST in Medford?

22D2171287, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mass General Brigham Primary Care 101 Main ST hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D2171287 expire?

The CMS file lists August 27, 2027 as the certificate expiration date; the certificate took effect August 28, 2025.

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