22D0078133 CLIA NUMBER - CROWN COLONY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0078133
  • Facility Name: CROWN COLONY PEDIATRICS
  • Facility Address: 500 CONGRESS STREET, SUITE 1F
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 617 471-3411
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BARBARA E. ANGUS
  • NPI Number: 1477591469
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0078133
LAB Type Physician Office
Facility Name CROWN COLONY PEDIATRICS
Street 500 CONGRESS STREET, SUITE 1F
City QUINCY
State MA
ZIP 02169
Phone 617 471-3411
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 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director BARBARA E. ANGUS

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