22D1023245 CLIA NUMBER - SOUTHCOAST PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 22D1023245
  • Facility Name: SOUTHCOAST PHYSICIANS GROUP
  • Facility Address: 235 HANOVER STREET, GROUND FLOOR
    FALL RIVER, MA
    ZIP 02720
  • Facility Phone: 508 973-1756
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY ANDERSON
  • NPI Number: 1104874874
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1023245
LAB Type Physician Office
Facility Name SOUTHCOAST PHYSICIANS GROUP
Street 235 HANOVER STREET, GROUND FLOOR
City FALL RIVER
State MA
ZIP 02720
Phone 508 973-1756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director AMY ANDERSON

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