22D1015175 CLIA NUMBER - RIVERSIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D1015175
  • Facility Name: RIVERSIDE PEDIATRICS
  • Facility Address: 18 HIGHLAND AVE
    NEWBURYPORT, MA
    ZIP 01950
  • Facility Phone: 978 465-0322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL PILZ
  • NPI Number: 1760685754
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D1015175
LAB Type Physician Office
Facility Name RIVERSIDE PEDIATRICS
Street 18 HIGHLAND AVE
City NEWBURYPORT
State MA
ZIP 01950
Phone 978 465-0322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director MICHAEL PILZ

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