22D2154822 CLIA NUMBER - SOUTH SHORE HEALTH EXPRESS INC

Laboratory Demographics

  • CLIA Code: 22D2154822
  • Facility Name: SOUTH SHORE HEALTH EXPRESS INC
  • Facility Address: 59 LONG POND ROAD
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: (781) 626-5180
  • Facility Type: Other - URGENT CARE CENTER
  • Facility Type: Waiver
  • Lab Director: DUSTIN COTLIAR
  • NPI Number: 1477044212
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2154822
LAB Type Other - URGENT CARE CENTER
Facility Name SOUTH SHORE HEALTH EXPRESS INC
Street 59 LONG POND ROAD
City PLYMOUTH
State MA
ZIP 02360
Phone 7816265180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Other - URGENT CARE CENTER
Lab Director DUSTIN COTLIAR

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This page was last updated on: 5/18/2026