22D2148977 CLIA NUMBER - START LINE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 22D2148977
  • Facility Name: START LINE PEDIATRICS, LLC
  • Facility Address: 77 WEST MAIN ST STE 201
    HOPKINTON, MA
    ZIP 01748
  • Facility Phone: 508 435-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRFAN M. RAHIM
  • NPI Number: 1871095802
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D2148977
LAB Type Physician Office
Facility Name START LINE PEDIATRICS, LLC
Street 77 WEST MAIN ST STE 201
City HOPKINTON
State MA
ZIP 01748
Phone 508 435-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director IRFAN M. RAHIM

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