22D1070078 CLIA NUMBER - DEBORAH S WOOTEN MD LLC

Laboratory Demographics

  • CLIA Code: 22D1070078
  • Facility Name: DEBORAH S WOOTEN MD LLC
  • Facility Address: 101 COURT STREET UNIT 8
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 732-7327
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBORAH S. WOOTEN-ANGELO
  • NPI Number: 1275693772
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 22D1070078
LAB Type Physician Office
Facility Name DEBORAH S WOOTEN MD LLC
Street 101 COURT STREET UNIT 8
City PLYMOUTH
State MA
ZIP 02360
Phone 508 732-7327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director DEBORAH S. WOOTEN-ANGELO

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