22D0910615 CLIA NUMBER - BROCKTON POST ACUTE CARE

Laboratory Demographics

  • CLIA Code: 22D0910615
  • Facility Name: BROCKTON POST ACUTE CARE
  • Facility Address: 50 CHRISTY PLACE
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 508 580-6800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PADMAJA PARAYATH
  • NPI Number: 1598214967
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0910615
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROCKTON POST ACUTE CARE
Street 50 CHRISTY PLACE
City BROCKTON
State MA
ZIP 02301
Phone 508 580-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PADMAJA PARAYATH

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