22D2074424 CLIA NUMBER - HARBOR COMMUNITY HEALTH CENTER-PLYMOUTH

Laboratory Demographics

  • CLIA Code: 22D2074424
  • Facility Name: HARBOR COMMUNITY HEALTH CENTER-PLYMOUTH
  • Facility Address: 10 CORDAGE PARK CIRCLE SUITE 115
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 778-5470
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Microscopy
  • Lab Director: MARY ENGEL
  • NPI Number: 1568892859
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2074424
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HARBOR COMMUNITY HEALTH CENTER-PLYMOUTH
Street 10 CORDAGE PARK CIRCLE SUITE 115
City PLYMOUTH
State MA
ZIP 02360
Phone 508 778-5470
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 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARY ENGEL

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