22D2237888 CLIA NUMBER - SOUTHCOAST PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 22D2237888
  • Facility Name: SOUTHCOAST PHYSICIANS GROUP
  • Facility Address: 370 FAUNCE CORNER
    DARTMOUTH, MA
    ZIP 02747
  • Facility Phone: 774 291-9653
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. HANNAH B. RAYMOND
  • NPI Number: 1184380099
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2237888
LAB Type Physician Office
Facility Name SOUTHCOAST PHYSICIANS GROUP
Street 370 FAUNCE CORNER
City DARTMOUTH
State MA
ZIP 02747
Phone 774 291-9653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director MS. HANNAH B. RAYMOND

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