22D2304674 CLIA NUMBER - SOUTH SHORE RECOVERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 22D2304674
  • Facility Name: SOUTH SHORE RECOVERY CENTER, LLC
  • Facility Address: 182 STANDISH AVE, UNIT 1
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 774 223-7170
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: FRANK BRADY
  • NPI Number: 1073764031
  • Taxonomy: 146D00000X - Personal Emergency Response Attendant

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CLIA Record

Field Name Field Value
CLIA Number 22D2304674
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SOUTH SHORE RECOVERY CENTER, LLC
Street 182 STANDISH AVE, UNIT 1
City PLYMOUTH
State MA
ZIP 02360
Phone 774 223-7170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director FRANK BRADY

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