22D2000317 CLIA NUMBER - NORTHEAST BEHAVIORAL HEALTH CORPORATION

Laboratory Demographics

  • CLIA Code: 22D2000317
  • Facility Name: NORTHEAST BEHAVIORAL HEALTH CORPORATION
  • Facility Address: 111 MIDDLETON RD
    DANVERS, MA
    ZIP 01923
  • Facility Phone: 978 412-2161
  • Facility Type: Other - COMMUNITY BEHAVIORAL
  • Facility Type: Waiver
  • Lab Director: NALAN WARD
  • NPI Number: 1285608067
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 22D2000317
LAB Type Other - COMMUNITY BEHAVIORAL
Facility Name NORTHEAST BEHAVIORAL HEALTH CORPORATION
Street 111 MIDDLETON RD
City DANVERS
State MA
ZIP 01923
Phone 978 412-2161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Other - COMMUNITY BEHAVIORAL
Lab Director NALAN WARD

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