22D1016729 CLIA NUMBER - WOMEN'S CENTER OF SOUTH SHORE MEDICAL CENTER, THE PLYMOUTH

Laboratory Demographics

  • CLIA Code: 22D1016729
  • Facility Name: WOMEN'S CENTER OF SOUTH SHORE MEDICAL CENTER, THE PLYMOUTH
  • Facility Address: 118 LONG POND ROAD
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 781 261-7891
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KYLE L. VIANI
  • NPI Number: 1275083057
  • Taxonomy: 173F00000X - Sleep Specialist, PhD

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CLIA Record

Field Name Field Value
CLIA Number 22D1016729
LAB Type Physician Office
Facility Name WOMEN'S CENTER OF SOUTH SHORE MEDICAL CENTER, THE PLYMOUTH
Street 118 LONG POND ROAD
City PLYMOUTH
State MA
ZIP 02360
Phone 781 261-7891
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 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director KYLE L. VIANI

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