22D0712955 CLIA NUMBER - CARDINAL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0712955
  • Facility Name: CARDINAL PEDIATRICS
  • Facility Address: 275 VARNUM AVE STE 204
    LOWELL, MA
    ZIP 01854
  • Facility Phone: 978 452-1666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PURNIMA BARANWAL
  • NPI Number: 1194372151
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0712955
LAB Type Physician Office
Facility Name CARDINAL PEDIATRICS
Street 275 VARNUM AVE STE 204
City LOWELL
State MA
ZIP 01854
Phone 978 452-1666
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 PURNIMA BARANWAL

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