22D2095951 CLIA NUMBER - ACTIVE DAY OF LOWELL

Laboratory Demographics

  • CLIA Code: 22D2095951
  • Facility Name: ACTIVE DAY OF LOWELL
  • Facility Address: 345 CHELMSFORD ST
    LOWELL, MA
    ZIP 01851
  • Facility Phone: 978 596-1111
  • Facility Type: Other - ADULT DAY HEALTH
  • Facility Type: Waiver
  • Lab Director: SOEM KHUNRANY
  • NPI Number: 1588119713
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2095951
LAB Type Other - ADULT DAY HEALTH
Facility Name ACTIVE DAY OF LOWELL
Street 345 CHELMSFORD ST
City LOWELL
State MA
ZIP 01851
Phone 978 596-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Other - ADULT DAY HEALTH
Lab Director SOEM KHUNRANY

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