22D1017840 CLIA NUMBER - BROOKSBY VILLAGE

Laboratory Demographics

  • CLIA Code: 22D1017840
  • Facility Name: BROOKSBY VILLAGE
  • Facility Address: 400 BROOKSBY VILLAGE DR
    PEABODY, MA
    ZIP 01960
  • Facility Phone: 978 536-7955
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRICIA E. SHAW
  • NPI Number: 1780663336
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D1017840
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKSBY VILLAGE
Street 400 BROOKSBY VILLAGE DR
City PEABODY
State MA
ZIP 01960
Phone 978 536-7955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRICIA E. SHAW

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