22D2097822 CLIA NUMBER - COMMONWEALTH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D2097822
  • Facility Name: COMMONWEALTH PEDIATRICS
  • Facility Address: 92 MONTVALE AVE STE 4200
    STONEHAM, MA
    ZIP 02180
  • Facility Phone: 781 451-0072
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHELLE L. LOCK
  • NPI Number: 1588051874
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2097822
LAB Type Physician Office
Facility Name COMMONWEALTH PEDIATRICS
Street 92 MONTVALE AVE STE 4200
City STONEHAM
State MA
ZIP 02180
Phone 781 451-0072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director DR. MICHELLE L. LOCK

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