CLIA lab

CLIA 22D0077174: TLC Pediatrics Everett

Everett, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 22D0077174 belongs to TLC Pediatrics Everett in Everett, MA.

Certificate of Waiver, effective October 1, 2025, expires September 30, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 1, 2025
Certificate expiration
September 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 6, 1994
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
22D0077174
Lab name
TLC Pediatrics Everett
Address
391 Broadway Ste 301, Everett, MA 02149
Phone
(617) 389-2121
Fax
(617) 389-4194

Annual test volume the lab reported

Waived tests
1,100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Everett, MA

Related

Questions

What is the CLIA number for TLC Pediatrics Everett in Everett?

22D0077174, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does TLC Pediatrics Everett hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D0077174 expire?

The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.

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