22D0954795 CLIA NUMBER - CAPE COD ASC LLC

Laboratory Demographics

  • CLIA Code: 22D0954795
  • Facility Name: CAPE COD ASC LLC
  • Facility Address: 280 HERITAGE PARK, P O BOX 820
    SANDWICH, MA
    ZIP 02563
  • Facility Phone: 617 555-1212
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LOIS TOWNSHEND MD
  • NPI Number: 1649657123
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0954795
LAB Type Ambulatory Surgery Center
Facility Name CAPE COD ASC LLC
Street 280 HERITAGE PARK, P O BOX 820
City SANDWICH
State MA
ZIP 02563
Phone 617 555-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Ambulatory Surgery Center
Lab Director LOIS TOWNSHEND MD

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