22D2285113 CLIA NUMBER - CONVENIENTMD URGENT CARE-PLYMOUTH

Laboratory Demographics

  • CLIA Code: 22D2285113
  • Facility Name: CONVENIENTMD URGENT CARE-PLYMOUTH
  • Facility Address: 140 SAMOSET STREET, SUITE 2
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 209-5362
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHAMRANG KHALSA
  • NPI Number: 1285488791
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2285113
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD URGENT CARE-PLYMOUTH
Street 140 SAMOSET STREET, SUITE 2
City PLYMOUTH
State MA
ZIP 02360
Phone 508 209-5362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Other - URGENT CARE
Lab Director DR. SHAMRANG KHALSA

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