22D2204268 CLIA NUMBER - BOSTON COMMUNITY PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 22D2204268
  • Facility Name: BOSTON COMMUNITY PEDIATRICS INC
  • Facility Address: 527 ALBANY ST STE 200
    BOSTON, MA
    ZIP 02118
  • Facility Phone: 617 934-6009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBYN RISEBERG
  • NPI Number: 1053927574
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D2204268
LAB Type Physician Office
Facility Name BOSTON COMMUNITY PEDIATRICS INC
Street 527 ALBANY ST STE 200
City BOSTON
State MA
ZIP 02118
Phone 617 934-6009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director ROBYN RISEBERG

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