33D0995890 CLIA NUMBER - BOSTON PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 33D0995890
  • Facility Name: BOSTON PEDIATRICS PLLC
  • Facility Address: 1262 BOSTON ROAD, SUITE 1
    BRONX, NY
    ZIP 10456
  • Facility Phone: (718) 617-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORGE L. CORNIELLE
  • NPI Number: 1275724767
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0995890
LAB Type Physician Office
Facility Name BOSTON PEDIATRICS PLLC
Street 1262 BOSTON ROAD, SUITE 1
City BRONX
State NY
ZIP 10456
Phone 7186172500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director DR. JORGE L. CORNIELLE

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This page was last updated on: 5/18/2026