22D1034431 CLIA NUMBER - QUEST DIAGNOSTICS MASSACHUSETTS LLC

Laboratory Demographics

  • CLIA Code: 22D1034431
  • Facility Name: QUEST DIAGNOSTICS MASSACHUSETTS LLC
  • Facility Address: 64 BOYDEN ROAD
    HOLDEN, MA
    ZIP 01520
  • Facility Phone: 508 829-6765
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LARISA DAVYDOVA
  • NPI Number: 1225455801
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 22D1034431
LAB Type Independent
Facility Name QUEST DIAGNOSTICS MASSACHUSETTS LLC
Street 64 BOYDEN ROAD
City HOLDEN
State MA
ZIP 01520
Phone 508 829-6765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Independent
Lab Director LARISA DAVYDOVA

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