CLIA lab
CLIA 22D2317786: Sustache Primary Care LLC
Marlborough, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2317786 belongs to Sustache Primary Care LLC in Marlborough, MA.
Certificate of Waiver, effective January 31, 2025, expires January 30, 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
- January 31, 2025
- Certificate expiration
- January 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 31, 2025
- Facility type
- Physician office
- 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
- 22D2317786
- Lab name
- Sustache Primary Care LLC
- Address
- 65 Boston Post Road West Suite 100, Marlborough, MA 01752
- Phone
- (508) 422-4844
- Fax
- (351) 202-1665
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.
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- Angel's Guardian LLCCertificate of Waiver, Home health agency22D2276078
- Assabet Valley Technical HSCertificate of Waiver, School or student health service22D2302219
- Bayada Home Health Care IncCertificate of Waiver, Home health agency22D2023696
- Beacon Hospice, LLCCertificate of Waiver, Home health agency22D0677966
- Bonanno Aesthetics & Wellness IncCertificate of Waiver, Physician office22D2343386
- Brookhaven Hospice LLCCertificate of Waiver, Hospice22D1081225
- Centerwell Home HealthCertificate of Waiver, Home health agency22D2004206
- Christopher Heights of MarlboroughCertificate of Waiver, Assisted living facility22D2205496
- Comprehensive Healthcare PlanningCertificate of Waiver, Assisted living facility22D2208964
Related
Questions
What is the CLIA number for Sustache Primary Care LLC in Marlborough?
22D2317786, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sustache Primary Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2317786 expire?
The CMS file lists January 30, 2027 as the certificate expiration date; the certificate took effect January 31, 2025.