22D2202736 CLIA NUMBER - WHOLISTIC PEDIATRICIANS

Laboratory Demographics

  • CLIA Code: 22D2202736
  • Facility Name: WHOLISTIC PEDIATRICIANS
  • Facility Address: 77 SWANTON STREET, SUITE 2
    WINCHESTER, MA
    ZIP 01890
  • Facility Phone: 781 922-4499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MELISSA L. MCCORMACK
  • NPI Number: 1922614585
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2202736
LAB Type Physician Office
Facility Name WHOLISTIC PEDIATRICIANS
Street 77 SWANTON STREET, SUITE 2
City WINCHESTER
State MA
ZIP 01890
Phone 781 922-4499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DR. MELISSA L. MCCORMACK

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