22D0081223 CLIA NUMBER - OUTER CAPE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 22D0081223
  • Facility Name: OUTER CAPE HEALTH SERVICES
  • Facility Address: 49 HARRY KEMP WAY
    PROVINCETOWN, MA
    ZIP 02657
  • Facility Phone: 508 905-2800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MARIE ANDRINE CONSTANT
  • NPI Number: 1841384013
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0081223
LAB Type Federally Qualified Health Center
Facility Name OUTER CAPE HEALTH SERVICES
Street 49 HARRY KEMP WAY
City PROVINCETOWN
State MA
ZIP 02657
Phone 508 905-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Federally Qualified Health Center
Lab Director MARIE ANDRINE CONSTANT

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