22D0969466 CLIA NUMBER - SOUTHCOAST PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 22D0969466
  • Facility Name: SOUTHCOAST PHYSICIANS GROUP
  • Facility Address: 479 SWANSEA MALL DRIVE
    SWANSEA, MA
    ZIP 02777
  • Facility Phone: 508 973-1570
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. WILLIAM B. BLAIR
  • NPI Number: 1225421118
  • Taxonomy: 2251X0800X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 22D0969466
LAB Type Physician Office
Facility Name SOUTHCOAST PHYSICIANS GROUP
Street 479 SWANSEA MALL DRIVE
City SWANSEA
State MA
ZIP 02777
Phone 508 973-1570
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 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director DR. WILLIAM B. BLAIR

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