22D1004752 CLIA NUMBER - SOUTH SHORE NEPHROLOGY PC

Laboratory Demographics

  • CLIA Code: 22D1004752
  • Facility Name: SOUTH SHORE NEPHROLOGY PC
  • Facility Address: 47 OBERY STREET SUITE 1A
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 747-4883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PIOTR LAZOWSKI
  • NPI Number: 1073578779
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1004752
LAB Type Physician Office
Facility Name SOUTH SHORE NEPHROLOGY PC
Street 47 OBERY STREET SUITE 1A
City PLYMOUTH
State MA
ZIP 02360
Phone 508 747-4883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director PIOTR LAZOWSKI

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