22D0906872 CLIA NUMBER - SOUTH COVE MANOR NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 22D0906872
  • Facility Name: SOUTH COVE MANOR NURSING AND REHABILITATION CENTER
  • Facility Address: 288 WASHINGTON STREET
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 617 423-0590
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOHN STEVENSON
  • NPI Number: 1407859564
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0906872
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH COVE MANOR NURSING AND REHABILITATION CENTER
Street 288 WASHINGTON STREET
City QUINCY
State MA
ZIP 02169
Phone 617 423-0590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JOHN STEVENSON

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