22D2309299 CLIA NUMBER - SOUTHCOAST BRAIN AND SPINE CENTER

Laboratory Demographics

  • CLIA Code: 22D2309299
  • Facility Name: SOUTHCOAST BRAIN AND SPINE CENTER
  • Facility Address: 480 HAWTHORNE STREET
    NORTH DARTMOUTH, MA
    ZIP 02747
  • Facility Phone: 508 973-9186
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA A. STONE
  • NPI Number: 1891783189
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2309299
LAB Type Physician Office
Facility Name SOUTHCOAST BRAIN AND SPINE CENTER
Street 480 HAWTHORNE STREET
City NORTH DARTMOUTH
State MA
ZIP 02747
Phone 508 973-9186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director JOSHUA A. STONE

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