22D0682794 CLIA NUMBER - BRAMBLEBUSH PEDIATRICS LLP

Laboratory Demographics

  • CLIA Code: 22D0682794
  • Facility Name: BRAMBLEBUSH PEDIATRICS LLP
  • Facility Address: 15 BRAMBLEBUSH PARK
    FALMOUTH, MA
    ZIP 02540
  • Facility Phone: 508 548-6969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GIANNINA R. TIERNEY
  • NPI Number: 1669776993
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0682794
LAB Type Physician Office
Facility Name BRAMBLEBUSH PEDIATRICS LLP
Street 15 BRAMBLEBUSH PARK
City FALMOUTH
State MA
ZIP 02540
Phone 508 548-6969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director GIANNINA R. TIERNEY

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