22D0667841 CLIA NUMBER - USCG BASE CAPE COD

Laboratory Demographics

  • CLIA Code: 22D0667841
  • Facility Name: USCG BASE CAPE COD
  • Facility Address: 5201 LEE ROAD
    BUZZARDS BAY, MA
    ZIP 02542
  • Facility Phone: 508 968-6713
  • Facility Type: Other - USCG
  • Facility Type: Waiver
  • Lab Director: COLLEEN FERNANDES
  • NPI Number: 1205957982
  • Taxonomy: 261QM1100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D0667841
LAB Type Other - USCG
Facility Name USCG BASE CAPE COD
Street 5201 LEE ROAD
City BUZZARDS BAY
State MA
ZIP 02542
Phone 508 968-6713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Other - USCG
Lab Director COLLEEN FERNANDES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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