22D2167977 CLIA NUMBER - SOUTH SHORE SUPPORT SERVICES

Laboratory Demographics

  • CLIA Code: 22D2167977
  • Facility Name: SOUTH SHORE SUPPORT SERVICES
  • Facility Address: 326 PLYMOUTH STREET
    HOLBROOK, MA
    ZIP 02343
  • Facility Phone: 781 331-7870
  • Facility Type: Other - DDS GROUP HOME PROVIDER
  • Facility Type: Waiver
  • Lab Director: MARY T. BURT
  • NPI Number: 1164830477
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2167977
LAB Type Other - DDS GROUP HOME PROVIDER
Facility Name SOUTH SHORE SUPPORT SERVICES
Street 326 PLYMOUTH STREET
City HOLBROOK
State MA
ZIP 02343
Phone 781 331-7870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Other - DDS GROUP HOME PROVIDER
Lab Director MARY T. BURT

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