33D2203431 CLIA NUMBER - ALAIN LE GUILLOU MD A DIV OF BOSTON CHILDREN'S HEALTH PHYSICIANS

Laboratory Demographics

  • CLIA Code: 33D2203431
  • Facility Name: ALAIN LE GUILLOU MD A DIV OF BOSTON CHILDREN'S HEALTH PHYSICIANS
  • Facility Address: 2039 PALMER AVE - SUITE 203
    LARCHMONT, NY
    ZIP 10538
  • Facility Phone: 914 834-1590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALAIN A. LE GUILLOU
  • NPI Number: 1982742565
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2203431
LAB Type Physician Office
Facility Name ALAIN LE GUILLOU MD A DIV OF BOSTON CHILDREN'S HEALTH PHYSICIANS
Street 2039 PALMER AVE - SUITE 203
City LARCHMONT
State NY
ZIP 10538
Phone 914 834-1590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2022
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ALAIN A. LE GUILLOU

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