22D1105941 CLIA NUMBER - CLEANSLATE CENTERS

Laboratory Demographics

  • CLIA Code: 22D1105941
  • Facility Name: CLEANSLATE CENTERS
  • Facility Address: 59 BOBALA RD
    HOLYOKE, MA
    ZIP 01040
  • Facility Phone: 413 265-2605
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PATRICE OHOUO
  • NPI Number: 1770020018
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 22D1105941
LAB Type Independent
Facility Name CLEANSLATE CENTERS
Street 59 BOBALA RD
City HOLYOKE
State MA
ZIP 01040
Phone 413 265-2605
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Independent
Lab Director DR. PATRICE OHOUO

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