22D0081096 CLIA NUMBER - BICKFORD HEALTH ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D0081096
  • Facility Name: BICKFORD HEALTH ASSOCIATES
  • Facility Address: 714 MAIN STREET ROUTE 6A SUITE 706A
    YARMOUTH PORT, MA
    ZIP 02675
  • Facility Phone: 508 362-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN V. DUENAS
  • NPI Number: 1447220892
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0081096
LAB Type Physician Office
Facility Name BICKFORD HEALTH ASSOCIATES
Street 714 MAIN STREET ROUTE 6A SUITE 706A
City YARMOUTH PORT
State MA
ZIP 02675
Phone 508 362-1600
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 SUSAN V. DUENAS

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