22D2287090 CLIA NUMBER - BEACON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D2287090
  • Facility Name: BEACON PEDIATRICS
  • Facility Address: 600 LONGWATER DRIVE, FLOOR 2
    NORWELL, MA
    ZIP 02061
  • Facility Phone: 781 745-3322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES F. POLCARI
  • NPI Number: 1962186049
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D2287090
LAB Type Physician Office
Facility Name BEACON PEDIATRICS
Street 600 LONGWATER DRIVE, FLOOR 2
City NORWELL
State MA
ZIP 02061
Phone 781 745-3322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director CHARLES F. POLCARI

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