22D0080998 CLIA NUMBER - SOUTHEASTERN VASCULAR PC

Laboratory Demographics

  • CLIA Code: 22D0080998
  • Facility Name: SOUTHEASTERN VASCULAR PC
  • Facility Address: 100 CAMP STREET
    HYANNIS, MA
    ZIP 02601
  • Facility Phone: 508 775-1984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL R. GORIN
  • NPI Number: 1194216762
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 22D0080998
LAB Type Physician Office
Facility Name SOUTHEASTERN VASCULAR PC
Street 100 CAMP STREET
City HYANNIS
State MA
ZIP 02601
Phone 508 775-1984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DANIEL R. GORIN

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