22D2074773 CLIA NUMBER - SANDWICH PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 22D2074773
  • Facility Name: SANDWICH PRIMARY CARE
  • Facility Address: 2 JAN SEBASTIAN DR STE 202
    SANDWICH, MA
    ZIP 02563
  • Facility Phone: 774 205-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDA HABEEB
  • NPI Number: 1528113750
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 22D2074773
LAB Type Physician Office
Facility Name SANDWICH PRIMARY CARE
Street 2 JAN SEBASTIAN DR STE 202
City SANDWICH
State MA
ZIP 02563
Phone 774 205-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director LINDA HABEEB

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