22D2152547 CLIA NUMBER - PRIMA CARE - DR KABAK

Laboratory Demographics

  • CLIA Code: 22D2152547
  • Facility Name: PRIMA CARE - DR KABAK
  • Facility Address: 67 SLADES FERRY BOULEVARD
    SOMERSET, MA
    ZIP 02726
  • Facility Phone: 508 678-5633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER KABAK
  • NPI Number: 1093103137
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 22D2152547
LAB Type Physician Office
Facility Name PRIMA CARE - DR KABAK
Street 67 SLADES FERRY BOULEVARD
City SOMERSET
State MA
ZIP 02726
Phone 508 678-5633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director DR. JENNIFER KABAK

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