22D0080468 CLIA NUMBER - US LAB & RADIOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 22D0080468
  • Facility Name: US LAB & RADIOLOGY, LLC
  • Facility Address: 2 JONATHAN DR
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 508 583-2000
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. TATIANA SOUSLOVA
  • NPI Number: 1659322360
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 22D0080468
LAB Type Independent
Facility Name US LAB & RADIOLOGY, LLC
Street 2 JONATHAN DR
City BROCKTON
State MA
ZIP 02301
Phone 508 583-2000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Independent
Lab Director DR. TATIANA SOUSLOVA

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