22D0080097 CLIA NUMBER - SOUTH SHORE SKIN CENTER

Laboratory Demographics

  • CLIA Code: 22D0080097
  • Facility Name: SOUTH SHORE SKIN CENTER
  • Facility Address: ONE SCOBEE CIRCLE
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 747-0711
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: NAVID BOUZARI
  • NPI Number: 1790763159
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 22D0080097
LAB Type Physician Office
Facility Name SOUTH SHORE SKIN CENTER
Street ONE SCOBEE CIRCLE
City PLYMOUTH
State MA
ZIP 02360
Phone 508 747-0711
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director NAVID BOUZARI

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