22D0979915 CLIA NUMBER - COMMUNITY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0979915
  • Facility Name: COMMUNITY PEDIATRICS
  • Facility Address: 1 BILLINGS RD STE 103
    QUINCY, MA
    ZIP 02171
  • Facility Phone: 617 773-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILY LUO
  • NPI Number: 1386768752
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0979915
LAB Type Physician Office
Facility Name COMMUNITY PEDIATRICS
Street 1 BILLINGS RD STE 103
City QUINCY
State MA
ZIP 02171
Phone 617 773-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director LILY LUO

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