22D1026115 CLIA NUMBER - ISLAND HEALTH CARE DBA ISLAND HEALTH INC

Laboratory Demographics

  • CLIA Code: 22D1026115
  • Facility Name: ISLAND HEALTH CARE DBA ISLAND HEALTH INC
  • Facility Address: 245 EDGARTOWN VINEYARD HAVEN RD
    EDGARTOWN, MA
    ZIP 02539
  • Facility Phone: 508 939-9358
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MS. JUDY L. JONES
  • NPI Number: 1316077464
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1026115
LAB Type Federally Qualified Health Center
Facility Name ISLAND HEALTH CARE DBA ISLAND HEALTH INC
Street 245 EDGARTOWN VINEYARD HAVEN RD
City EDGARTOWN
State MA
ZIP 02539
Phone 508 939-9358
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 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Federally Qualified Health Center
Lab Director MS. JUDY L. JONES

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