22D2161200 CLIA NUMBER - CEDAR HILL PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 22D2161200
  • Facility Name: CEDAR HILL PEDIATRICS LLC
  • Facility Address: 1324 BELMONT ST STE 105
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 508 427-6000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURA M. ROBERTSON
  • NPI Number: 1508351784
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D2161200
LAB Type Physician Office
Facility Name CEDAR HILL PEDIATRICS LLC
Street 1324 BELMONT ST STE 105
City BROCKTON
State MA
ZIP 02301
Phone 508 427-6000
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 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director LAURA M. ROBERTSON

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