22D2212600 CLIA NUMBER - SOUTHEAST FAMILY SERVICES

Laboratory Demographics

  • CLIA Code: 22D2212600
  • Facility Name: SOUTHEAST FAMILY SERVICES
  • Facility Address: 713 SHAWMUT AVE
    NEW BEDFORD, MA
    ZIP 02740
  • Facility Phone: 781 738-4020
  • Facility Type: Other - HOMELESS SHELTER
  • Facility Type: Waiver
  • Lab Director: MS. KATHY SPEAR
  • NPI Number: 1922102912
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 22D2212600
LAB Type Other - HOMELESS SHELTER
Facility Name SOUTHEAST FAMILY SERVICES
Street 713 SHAWMUT AVE
City NEW BEDFORD
State MA
ZIP 02740
Phone 781 738-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Other - HOMELESS SHELTER
Lab Director MS. KATHY SPEAR

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This page was last updated on: 3/20/2025