22D2109723 CLIA NUMBER - LIVING WELL ADHC

Laboratory Demographics

CLIA Number: 22D2109723

Facility Name: LIVING WELL ADHC

Facility Address:
125 HARTWELL ST
WEST BOYLSTON, MA
ZIP 01583
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Facility Phone Number: 508 835-2800

Facility Type: Other - ADULT DAY HEALTH CTR

Certificate Type: Waiver

NPI Number: 1669998654

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D2109723
LAB Type	Other - ADULT DAY HEALTH CTR
Facility Name	LIVING WELL ADHC
Street	125 HARTWELL ST
City	WEST BOYLSTON
State	MA
ZIP	01583
Phone	508 835-2800
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024