07D2202802 CLIA NUMBER - KEYSTONE PLACE AT NEWBURY BROOK, LLC

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Laboratory Demographics

CLIA Number: 07D2202802

Facility Name: KEYSTONE PLACE AT NEWBURY BROOK, LLC

Facility Address:
1058 LITCHFIELD ST
TORRINGTON, CT
ZIP 06790
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Facility Phone Number: 860 618-7370

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1831703842

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	07D2202802
LAB Type	Assisted Living Facility
Facility Name	KEYSTONE PLACE AT NEWBURY BROOK, LLC
Street	1058 LITCHFIELD ST
City	TORRINGTON
State	CT
ZIP	06790
Phone	860 618-7370
CertificateType	4
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024