22D0890854 CLIA NUMBER - WESTON PEDIATRIC PHYSICIANS, PC AT MILL BROOK

Laboratory Demographics

  • CLIA Code: 22D0890854
  • Facility Name: WESTON PEDIATRIC PHYSICIANS, PC AT MILL BROOK
  • Facility Address: 490C BOSTON POST ROAD
    SUDBURY, MA
    ZIP 01776
  • Facility Phone: 978 443-0707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT H. ANDLER
  • NPI Number: 1609975069
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0890854
LAB Type Physician Office
Facility Name WESTON PEDIATRIC PHYSICIANS, PC AT MILL BROOK
Street 490C BOSTON POST ROAD
City SUDBURY
State MA
ZIP 01776
Phone 978 443-0707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director ROBERT H. ANDLER

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