22D0708122 CLIA NUMBER - FALL RIVER NEPHROLOGY PC

Laboratory Demographics

  • CLIA Code: 22D0708122
  • Facility Name: FALL RIVER NEPHROLOGY PC
  • Facility Address: 1030 PRESIDENT AVENUE SUITE 304
    FALL RIVER, MA
    ZIP 02720
  • Facility Phone: 508 235-6427
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFFREY D. HOROWITZ
  • NPI Number: 1407064348
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0708122
LAB Type Physician Office
Facility Name FALL RIVER NEPHROLOGY PC
Street 1030 PRESIDENT AVENUE SUITE 304
City FALL RIVER
State MA
ZIP 02720
Phone 508 235-6427
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director JEFFREY D. HOROWITZ

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