22D0972161 CLIA NUMBER - HOLLISTON PEDIATRIC GROUP INC

Laboratory Demographics

  • CLIA Code: 22D0972161
  • Facility Name: HOLLISTON PEDIATRIC GROUP INC
  • Facility Address: 321 FORTUNE BLVD
    MILFORD, MA
    ZIP 01757
  • Facility Phone: 508 478-5996
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JENNIFER A. BRAM
  • NPI Number: 1538184692
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0972161
LAB Type Physician Office
Facility Name HOLLISTON PEDIATRIC GROUP INC
Street 321 FORTUNE BLVD
City MILFORD
State MA
ZIP 01757
Phone 508 478-5996
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DR. JENNIFER A. BRAM

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