22D0981129 CLIA NUMBER - NEWTON WELLESLEY CHILDRENS DOCTOR

Laboratory Demographics

  • CLIA Code: 22D0981129
  • Facility Name: NEWTON WELLESLEY CHILDRENS DOCTOR
  • Facility Address: ONE HOLLIS STREET SUITE 243
    WELLESLEY, MA
    ZIP 02482
  • Facility Phone: 781 235-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARSHINI KUMARASENA
  • NPI Number: 1326256728
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0981129
LAB Type Physician Office
Facility Name NEWTON WELLESLEY CHILDRENS DOCTOR
Street ONE HOLLIS STREET SUITE 243
City WELLESLEY
State MA
ZIP 02482
Phone 781 235-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director DARSHINI KUMARASENA

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