22D0079985 CLIA NUMBER - MIDDLEBORO PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 22D0079985
  • Facility Name: MIDDLEBORO PEDIATRICS PC
  • Facility Address: 2 LAKEVILLE BUSINESS PARK
    LAKEVILLE, MA
    ZIP 02347
  • Facility Phone: 508 947-0630
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: CAROLINA GAPUD
  • NPI Number: 1861556961
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0079985
LAB Type Physician Office
Facility Name MIDDLEBORO PEDIATRICS PC
Street 2 LAKEVILLE BUSINESS PARK
City LAKEVILLE
State MA
ZIP 02347
Phone 508 947-0630
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director CAROLINA GAPUD

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