22D0080539 CLIA NUMBER - BROCKTON PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 22D0080539
  • Facility Name: BROCKTON PEDIATRICS INC
  • Facility Address: 65 LIBBY STREET
    BROCKTON, MA
    ZIP 02302
  • Facility Phone: 508 584-6060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD H. KAY
  • NPI Number: 1629001904
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0080539
LAB Type Physician Office
Facility Name BROCKTON PEDIATRICS INC
Street 65 LIBBY STREET
City BROCKTON
State MA
ZIP 02302
Phone 508 584-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director HOWARD H. KAY

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