22D0978515 CLIA NUMBER - RAYNHAM-TAUNTON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0978515
  • Facility Name: RAYNHAM-TAUNTON PEDIATRICS
  • Facility Address: 876 BROADWAY
    RAYNHAM, MA
    ZIP 02767
  • Facility Phone: 508 824-9500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MODAR SUKKARIEH
  • NPI Number: 1336117316
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0978515
LAB Type Physician Office
Facility Name RAYNHAM-TAUNTON PEDIATRICS
Street 876 BROADWAY
City RAYNHAM
State MA
ZIP 02767
Phone 508 824-9500
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 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director DR. MODAR SUKKARIEH

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