22D0074496 CLIA NUMBER - WALPOLE PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D0074496
  • Facility Name: WALPOLE PEDIATRIC ASSOCIATES
  • Facility Address: 1350 MAIN STREET
    WALPOLE, MA
    ZIP 02081
  • Facility Phone: 508 668-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DENISE R. SHIU
  • NPI Number: 1710055967
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0074496
LAB Type Physician Office
Facility Name WALPOLE PEDIATRIC ASSOCIATES
Street 1350 MAIN STREET
City WALPOLE
State MA
ZIP 02081
Phone 508 668-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director DR. DENISE R. SHIU

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