22D1098372 CLIA NUMBER - BRIDGEWATER PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 22D1098372
  • Facility Name: BRIDGEWATER PEDIATRICS, LLC
  • Facility Address: 1029 PLEASANT ST
    BRIDGEWATER, MA
    ZIP 02324
  • Facility Phone: 508 697-8116
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRED D. KERN
  • NPI Number: 1255579975
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D1098372
LAB Type Physician Office
Facility Name BRIDGEWATER PEDIATRICS, LLC
Street 1029 PLEASANT ST
City BRIDGEWATER
State MA
ZIP 02324
Phone 508 697-8116
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director FRED D. KERN

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