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22D0075658 CLIA NUMBER - ROSLINDALE PEDIATRIC ASSOCIATES PC

Laboratory Demographics

CLIA Number: 22D0075658

Facility Name: ROSLINDALE PEDIATRIC ASSOCIATES PC

Facility Address:
2020 CENTRE STREET
BOSTON, MA
ZIP 02132
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Facility Phone Number: 617 522-3100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1578617445

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType 4
CertificateEffectiveDate 3/31/2024
CertificateExpirationDate 3/30/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024