22D0679696 CLIA NUMBER - LONGWOOD PEDIATRICS LLP

Laboratory Demographics

  • CLIA Code: 22D0679696
  • Facility Name: LONGWOOD PEDIATRICS LLP
  • Facility Address: 319 LONGWOOD AVENUE 4TH FLOOR
    BOSTON, MA
    ZIP 02115
  • Facility Phone: 617 277-7320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE G. SHEARER
  • NPI Number: 1528192887
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0679696
LAB Type Physician Office
Facility Name LONGWOOD PEDIATRICS LLP
Street 319 LONGWOOD AVENUE 4TH FLOOR
City BOSTON
State MA
ZIP 02115
Phone 617 277-7320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KATHERINE G. SHEARER

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