22D0081641 CLIA NUMBER - MARION PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0081641
  • Facility Name: MARION PEDIATRICS
  • Facility Address: 404 HUTTLESTON AVENUE
    FAIRHAVEN, MA
    ZIP 02719
  • Facility Phone: 508 996-9333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SABA SHAMOON MICHAUD
  • NPI Number: 1043427230
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0081641
LAB Type Physician Office
Facility Name MARION PEDIATRICS
Street 404 HUTTLESTON AVENUE
City FAIRHAVEN
State MA
ZIP 02719
Phone 508 996-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director SABA SHAMOON MICHAUD

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