22D0077278 CLIA NUMBER - TLC PEDIATRICS DBA REVERE-WINTHROP PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0077278
  • Facility Name: TLC PEDIATRICS DBA REVERE-WINTHROP PEDIATRICS
  • Facility Address: 280 BEACH STREET
    REVERE, MA
    ZIP 02151
  • Facility Phone: 781 289-5057
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JANET T. CHUA
  • NPI Number: 1962708271
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0077278
LAB Type Physician Office
Facility Name TLC PEDIATRICS DBA REVERE-WINTHROP PEDIATRICS
Street 280 BEACH STREET
City REVERE
State MA
ZIP 02151
Phone 781 289-5057
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director DR. JANET T. CHUA

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