22D2036552 CLIA NUMBER - LIFESTREAM INC

Laboratory Demographics

  • CLIA Code: 22D2036552
  • Facility Name: LIFESTREAM INC
  • Facility Address: 13 WELBY ROAD
    NEW BEDFORD, MA
    ZIP 02745
  • Facility Phone: 508 993-1991
  • Facility Type: Other - ADULT DAY HAB PROG
  • Facility Type: Waiver
  • Lab Director: DOUGLAS S. HUGHES
  • NPI Number: 1558963397
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 22D2036552
LAB Type Other - ADULT DAY HAB PROG
Facility Name LIFESTREAM INC
Street 13 WELBY ROAD
City NEW BEDFORD
State MA
ZIP 02745
Phone 508 993-1991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Other - ADULT DAY HAB PROG
Lab Director DOUGLAS S. HUGHES

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