22D0075658 CLIA NUMBER - ROSLINDALE PEDIATRIC ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 22D0075658
  • Facility Name: ROSLINDALE PEDIATRIC ASSOCIATES PC
  • Facility Address: 2020 CENTRE STREET
    BOSTON, MA
    ZIP 02132
  • Facility Phone: 617 522-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW SALUTI
  • NPI Number: 1578617445
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0075658
LAB Type Physician Office
Facility Name ROSLINDALE PEDIATRIC ASSOCIATES PC
Street 2020 CENTRE STREET
City BOSTON
State MA
ZIP 02132
Phone 617 522-3100
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 ANDREW SALUTI

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