22D2263398 CLIA NUMBER - PERSONAL PEDIATRICS, LLC

Laboratory Demographics

CLIA Number: 22D2263398

Facility Name: PERSONAL PEDIATRICS, LLC

Facility Address:
6 FRANKLIN ROGERS RD
HINGHAM, MA
ZIP 02043
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Facility Phone Number: 781 783-8427

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1003446808

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	22D2263398
LAB Type	Mobile Laboratory
Facility Name	PERSONAL PEDIATRICS, LLC
Street	6 FRANKLIN ROGERS RD
City	HINGHAM
State	MA
ZIP	02043
Phone	781 783-8427
CertificateType	4
CertificateEffectiveDate	6/28/2022
CertificateExpirationDate	6/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024