22D0081116 CLIA NUMBER - PLEASANT LAKE LABORATORY

Laboratory Demographics

  • CLIA Code: 22D0081116
  • Facility Name: PLEASANT LAKE LABORATORY
  • Facility Address: 253 PLEASANT LAKE AVE
    HARWICH, MA
    ZIP 02645
  • Facility Phone: 508 432-5233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QIANG NAI
  • NPI Number: 1104873835
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0081116
LAB Type Physician Office
Facility Name PLEASANT LAKE LABORATORY
Street 253 PLEASANT LAKE AVE
City HARWICH
State MA
ZIP 02645
Phone 508 432-5233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director QIANG NAI

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