22D0074466 CLIA NUMBER - TRI COUNTY PEDIATRICS ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 22D0074466
  • Facility Name: TRI COUNTY PEDIATRICS ASSOCIATES, PC
  • Facility Address: 907 SUMNER STREET STE M-102
    STOUGHTON, MA
    ZIP 02072
  • Facility Phone: 781 344-3791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FRANCINE DELUCA CHAMPION
  • NPI Number: 1346202066
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0074466
LAB Type Physician Office
Facility Name TRI COUNTY PEDIATRICS ASSOCIATES, PC
Street 907 SUMNER STREET STE M-102
City STOUGHTON
State MA
ZIP 02072
Phone 781 344-3791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director DR. FRANCINE DELUCA CHAMPION

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This page was last updated on: 9/29/2025