22D2142729 CLIA NUMBER - NEW ENGLAND PSYCHIATRIC CONSULTANTS

Laboratory Demographics

  • CLIA Code: 22D2142729
  • Facility Name: NEW ENGLAND PSYCHIATRIC CONSULTANTS
  • Facility Address: 225 WATER ST STE A140
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 617 817-2833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD BUGAOAN
  • NPI Number: 1427673136
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 22D2142729
LAB Type Physician Office
Facility Name NEW ENGLAND PSYCHIATRIC CONSULTANTS
Street 225 WATER ST STE A140
City PLYMOUTH
State MA
ZIP 02360
Phone 617 817-2833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director RONALD BUGAOAN

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