22D2104394 CLIA NUMBER - HABIT OPCO, INC

Laboratory Demographics

  • CLIA Code: 22D2104394
  • Facility Name: HABIT OPCO, INC
  • Facility Address: 99 TOPEKA ST
    BOSTON, MA
    ZIP 02118
  • Facility Phone: (617) 442-1499
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: RICARDO DANCEL
  • NPI Number: 1023175072
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2104394
LAB Type Comp. Outpatient Rehab Facility
Facility Name HABIT OPCO, INC
Street 99 TOPEKA ST
City BOSTON
State MA
ZIP 02118
Phone 6174421499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2025
Certificate Expiration Date 11/2/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director RICARDO DANCEL

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This page was last updated on: 5/18/2026