22D2277861 CLIA NUMBER - RISING TIDE CHARTER PUBLIC SCHOOL

Laboratory Demographics

  • CLIA Code: 22D2277861
  • Facility Name: RISING TIDE CHARTER PUBLIC SCHOOL
  • Facility Address: 59 ARMSTRONG RD
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 747-2620
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LISA HUGHES
  • NPI Number: 1053532788
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 22D2277861
LAB Type School/Student Health Service
Facility Name RISING TIDE CHARTER PUBLIC SCHOOL
Street 59 ARMSTRONG RD
City PLYMOUTH
State MA
ZIP 02360
Phone 508 747-2620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type School/Student Health Service
Lab Director LISA HUGHES

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