22D2016475 CLIA NUMBER - ACTIVE DAY OF FAIRHAVEN MEDICAL ADULT DAYCARE

Laboratory Demographics

  • CLIA Code: 22D2016475
  • Facility Name: ACTIVE DAY OF FAIRHAVEN MEDICAL ADULT DAYCARE
  • Facility Address: 40 SCONTICUT NECK ROAD
    FAIRHAVEN, MA
    ZIP 02719
  • Facility Phone: 508 990-0607
  • Facility Type: Other - MED ADULT DAYCARE
  • Facility Type: Waiver
  • Lab Director: CATHERINE FREITAS
  • NPI Number: 1285775411
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2016475
LAB Type Other - MED ADULT DAYCARE
Facility Name ACTIVE DAY OF FAIRHAVEN MEDICAL ADULT DAYCARE
Street 40 SCONTICUT NECK ROAD
City FAIRHAVEN
State MA
ZIP 02719
Phone 508 990-0607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Other - MED ADULT DAYCARE
Lab Director CATHERINE FREITAS

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