CLIA lab
CLIA 22D2301269: Blue Heron Primary Care
Pembroke, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2301269 belongs to Blue Heron Primary Care in Pembroke, MA.
Certificate of Waiver, effective March 22, 2026, expires March 21, 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 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2024
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- 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
- 22D2301269
- Lab name
- Blue Heron Primary Care
- Address
- 28 Riverside Dr, Ste 150, Pembroke, MA 02359
- Phone
- (508) 810-1980
- Fax
- (508) 810-1981
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pembroke, MA
- Beth Israel Deaconess Health Care-PembrokeCertificate for Provider-Performed Microscopy Procedures, Physician office22D2129512
- Convenientmd Urgent Care PembrokeCertificate of Waiver, Other22D2174167
- Crown Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office22D1018808
- Mass General Brigham (Pembroke)Certificate for Provider-Performed Microscopy Procedures, Physician office22D0962130
- Mass General Brigham Express Care (Pembroke)Certificate of Waiver, Physician office22D2335837
- New England Village IncCertificate of Waiver, Other22D1072675
- Pembroke Fire DepartmentCertificate of Waiver, Ambulance22D2312418
- Pembroke School DistrictCertificate of Waiver, School or student health service22D2271629
- Plymouth County Primary CareCertificate of Waiver, Physician office22D2341812
- South Shore Health Express IncCertificate of Waiver, Other22D2154814
Related
Questions
What is the CLIA number for Blue Heron Primary Care in Pembroke?
22D2301269, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Heron Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2301269 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.