22D2099151 CLIA NUMBER - STOUGHTON ADULT DAY MEDICAL DAY CARE CENTER

Laboratory Demographics

  • CLIA Code: 22D2099151
  • Facility Name: STOUGHTON ADULT DAY MEDICAL DAY CARE CENTER
  • Facility Address: 966 PARK ST UNIT B-1
    STOUGHTON, MA
    ZIP 02072
  • Facility Phone: 508 618-7945
  • Facility Type: Other - ADULT DAY HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: KERRIE R. HAMBLETT
  • NPI Number: 1194192906
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D2099151
LAB Type Other - ADULT DAY HEALTH CENTER
Facility Name STOUGHTON ADULT DAY MEDICAL DAY CARE CENTER
Street 966 PARK ST UNIT B-1
City STOUGHTON
State MA
ZIP 02072
Phone 508 618-7945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Other - ADULT DAY HEALTH CENTER
Lab Director KERRIE R. HAMBLETT

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