22D2106776 CLIA NUMBER - BROCKTON ADULT DAY HEALTH

Laboratory Demographics

  • CLIA Code: 22D2106776
  • Facility Name: BROCKTON ADULT DAY HEALTH
  • Facility Address: 764 NORTH MAIN STREET
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 508 618-7961
  • Facility Type: Other - ADULT DAY HEALTH
  • Facility Type: Waiver
  • Lab Director: KERRIE HAMBLETT
  • NPI Number: 1437101839
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 22D2106776
LAB Type Other - ADULT DAY HEALTH
Facility Name BROCKTON ADULT DAY HEALTH
Street 764 NORTH MAIN STREET
City BROCKTON
State MA
ZIP 02301
Phone 508 618-7961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Other - ADULT DAY HEALTH
Lab Director KERRIE HAMBLETT

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