22D1083265 CLIA NUMBER - MENTOR ABI LLC DBA NEURORESTORATIVE

Laboratory Demographics

  • CLIA Code: 22D1083265
  • Facility Name: MENTOR ABI LLC DBA NEURORESTORATIVE
  • Facility Address: 1107 MIDDLE ST
    WEYMOUTH, MA
    ZIP 02190
  • Facility Phone: 508 269-7431
  • Facility Type: Other - RESIDENTIAL GROUP HOME
  • Facility Type: Waiver
  • Lab Director: MICHAEL PERKINS
  • NPI Number: 1629190269
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 22D1083265
LAB Type Other - RESIDENTIAL GROUP HOME
Facility Name MENTOR ABI LLC DBA NEURORESTORATIVE
Street 1107 MIDDLE ST
City WEYMOUTH
State MA
ZIP 02190
Phone 508 269-7431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Other - RESIDENTIAL GROUP HOME
Lab Director MICHAEL PERKINS

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