22D1025555 CLIA NUMBER - STEPHEN K LANE MD

Laboratory Demographics

  • CLIA Code: 22D1025555
  • Facility Name: STEPHEN K LANE MD
  • Facility Address: 56 NEW DRIFTWAY SUITE 203
    SCITUATE, MA
    ZIP 02066
  • Facility Phone: 781 544-1388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN K. LANE
  • NPI Number: 1871584094
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1025555
LAB Type Physician Office
Facility Name STEPHEN K LANE MD
Street 56 NEW DRIFTWAY SUITE 203
City SCITUATE
State MA
ZIP 02066
Phone 781 544-1388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director STEPHEN K. LANE

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