22D2068445 CLIA NUMBER - SOUTH COAST PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 22D2068445
  • Facility Name: SOUTH COAST PHYSICIAN GROUP
  • Facility Address: 543 NORTH ST
    NEW BEDFORD, MA
    ZIP 02740
  • Facility Phone: 508 973-2208
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTIAN POPE
  • NPI Number: 1649666512
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 22D2068445
LAB Type Physician Office
Facility Name SOUTH COAST PHYSICIAN GROUP
Street 543 NORTH ST
City NEW BEDFORD
State MA
ZIP 02740
Phone 508 973-2208
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 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director CHRISTIAN POPE

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