22D2088109 CLIA NUMBER - HABIT OPCO LLC

Laboratory Demographics

  • CLIA Code: 22D2088109
  • Facility Name: HABIT OPCO LLC
  • Facility Address: 180 CENTRE STREET
    BROCKTON, MA
    ZIP 02302
  • Facility Phone: 508 586-6300
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DAVID A. LEVY
  • NPI Number: 1154544880
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 22D2088109
LAB Type Comp. Outpatient Rehab Facility
Facility Name HABIT OPCO LLC
Street 180 CENTRE STREET
City BROCKTON
State MA
ZIP 02302
Phone 508 586-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DAVID A. LEVY

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