22D0943570 CLIA NUMBER - VILLAGE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 22D0943570
  • Facility Name: VILLAGE PEDIATRICS, LLC
  • Facility Address: 156 NORTH PEARL ST
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 508 894-8577
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID M. HOWELL
  • NPI Number: 1649248501
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 22D0943570
LAB Type Physician Office
Facility Name VILLAGE PEDIATRICS, LLC
Street 156 NORTH PEARL ST
City BROCKTON
State MA
ZIP 02301
Phone 508 894-8577
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director DAVID M. HOWELL

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