22D2144244 CLIA NUMBER - SOUTH SHORE PSYCHIATRIC SERVICES

Laboratory Demographics

  • CLIA Code: 22D2144244
  • Facility Name: SOUTH SHORE PSYCHIATRIC SERVICES
  • Facility Address: 160 OLD DERBY ST STE 457
    HINGHAM, MA
    ZIP 02043
  • Facility Phone: 781 837-8833
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY ANN MCDONNELL
  • NPI Number: 1588062244
  • Taxonomy: 364SP0807X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 22D2144244
LAB Type Practitioner Other
Facility Name SOUTH SHORE PSYCHIATRIC SERVICES
Street 160 OLD DERBY ST STE 457
City HINGHAM
State MA
ZIP 02043
Phone 781 837-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Practitioner Other
Lab Director MARY ANN MCDONNELL

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