22D2201163 CLIA NUMBER - JUDGE BAKER CHILDREN'S CENTER - MANVILLE SCHOOL

Laboratory Demographics

  • CLIA Code: 22D2201163
  • Facility Name: JUDGE BAKER CHILDREN'S CENTER - MANVILLE SCHOOL
  • Facility Address: 53 PARKER HILL AVE
    BOSTON, MA
    ZIP 02120
  • Facility Phone: 617 278-4296
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BELLONCI
  • NPI Number: 1629559059
  • Taxonomy: 261QM0855X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2201163
LAB Type School/Student Health Service
Facility Name JUDGE BAKER CHILDREN'S CENTER - MANVILLE SCHOOL
Street 53 PARKER HILL AVE
City BOSTON
State MA
ZIP 02120
Phone 617 278-4296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type School/Student Health Service
Lab Director CHRISTOPHER BELLONCI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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