22D0909013 CLIA NUMBER - PATRIOT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0909013
  • Facility Name: PATRIOT PEDIATRICS
  • Facility Address: 74 LOOMIS STREET
    BEDFORD, MA
    ZIP 01730
  • Facility Phone: 781 674-2900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FRANCINE M. HENNESSEY
  • NPI Number: 1710194410
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0909013
LAB Type Physician Office
Facility Name PATRIOT PEDIATRICS
Street 74 LOOMIS STREET
City BEDFORD
State MA
ZIP 01730
Phone 781 674-2900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director FRANCINE M. HENNESSEY

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