22D0879427 CLIA NUMBER - WALDEN POND PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 22D0879427
  • Facility Name: WALDEN POND PEDIATRICS, PC
  • Facility Address: 101 THOREAU STREET
    CONCORD, MA
    ZIP 01742
  • Facility Phone: 978 369-9401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ESHITA BAKSHI
  • NPI Number: 1568882918
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0879427
LAB Type Physician Office
Facility Name WALDEN POND PEDIATRICS, PC
Street 101 THOREAU STREET
City CONCORD
State MA
ZIP 01742
Phone 978 369-9401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director ESHITA BAKSHI

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