22D2154816 CLIA NUMBER - SOUTH SHORE HEALTH EXPRESS INC

Laboratory Demographics

CLIA Number: 22D2154816

Facility Name: SOUTH SHORE HEALTH EXPRESS INC

Facility Address:
182 SUMMER STRET #1277
KINGSTON, MA
ZIP 02364
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Facility Phone Number: 781 626-5340

Facility Type: Other - URGENT CARE CENER

Certificate Type: Waiver

NPI Number: 1033602099

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D2154816
LAB Type	Other - URGENT CARE CENER
Facility Name	SOUTH SHORE HEALTH EXPRESS INC
Street	182 SUMMER STRET #1277
City	KINGSTON
State	MA
ZIP	02364
Phone	781 626-5340
CertificateType	4
CertificateEffectiveDate	9/19/2022
CertificateExpirationDate	9/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024