22D0972831 CLIA NUMBER - DARTMOUTH PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 22D0972831
  • Facility Name: DARTMOUTH PEDIATRICS PC
  • Facility Address: 2263 ACUSHNET AVENUE 1ST FLOOR
    NEW BEDFORD, MA
    ZIP 02745
  • Facility Phone: 508 961-1644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHSEN A. ELHADDAD
  • NPI Number: 1477752335
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0972831
LAB Type Physician Office
Facility Name DARTMOUTH PEDIATRICS PC
Street 2263 ACUSHNET AVENUE 1ST FLOOR
City NEW BEDFORD
State MA
ZIP 02745
Phone 508 961-1644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director MOHSEN A. ELHADDAD

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This page was last updated on: 3/20/2025