22D0913380 CLIA NUMBER - BALDPATE

Laboratory Demographics

  • CLIA Code: 22D0913380
  • Facility Name: BALDPATE
  • Facility Address: 83 BALDPATE ROAD
    GEORGETOWN, MA
    ZIP 01833
  • Facility Phone: 978 352-2131
  • Facility Type: Other - BSAS FACILITY - ATS DETOX
  • Facility Type: Waiver
  • Lab Director: LINDA COTE
  • NPI Number: 1578670881
  • Taxonomy: 103TP0814X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 22D0913380
LAB Type Other - BSAS FACILITY - ATS DETOX
Facility Name BALDPATE
Street 83 BALDPATE ROAD
City GEORGETOWN
State MA
ZIP 01833
Phone 978 352-2131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Other - BSAS FACILITY - ATS DETOX
Lab Director LINDA COTE

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