22D1002887 CLIA NUMBER - MERRIMACK CENTER

Laboratory Demographics

CLIA Code: 22D1002887
Facility Name: MERRIMACK CENTER
Facility Address: 365 EAST ST
TEWKSBURY, MA
ZIP 01876
Facility Phone: (978) 851-0790
Facility Type: Other - RESIDENTIAL MENTAL HEALTH
Facility Type: Waiver
Lab Director: PAULA LANGLEY
NPI Number: 1710111422
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	22D1002887
LAB Type	Other - RESIDENTIAL MENTAL HEALTH
Facility Name	MERRIMACK CENTER
Street	365 EAST ST
City	TEWKSBURY
State	MA
ZIP	01876
Phone	9788510790
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/16/2024
Certificate Expiration Date	8/15/2026
Facility Type	Other - RESIDENTIAL MENTAL HEALTH
Lab Director	PAULA LANGLEY

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This page was last updated on: 5/18/2026