22D0969576 CLIA NUMBER - SOUTH SUBURBAN GASTROENTEROLOGY PC

Laboratory Demographics

  • CLIA Code: 22D0969576
  • Facility Name: SOUTH SUBURBAN GASTROENTEROLOGY PC
  • Facility Address: 1085 MAIN STREET
    SOUTH WEYMOUTH, MA
    ZIP 02190
  • Facility Phone: 781 331-2922
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL J. O'BRIEN
  • NPI Number: 1194348870
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 22D0969576
LAB Type Physician Office
Facility Name SOUTH SUBURBAN GASTROENTEROLOGY PC
Street 1085 MAIN STREET
City SOUTH WEYMOUTH
State MA
ZIP 02190
Phone 781 331-2922
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director DR. MICHAEL J. O'BRIEN

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This page was last updated on: 6/4/2025