22D2121002 CLIA NUMBER - HABIT OPCO-SPRINGFIELD

Laboratory Demographics

  • CLIA Code: 22D2121002
  • Facility Name: HABIT OPCO-SPRINGFIELD
  • Facility Address: 511 EAST COLUMBUS AVE
    SPRINGFIELD, MA
    ZIP 01105
  • Facility Phone: 413 733-3488
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NEAL LAKRITZ
  • NPI Number: 1457786808
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 22D2121002
LAB Type Comp. Outpatient Rehab Facility
Facility Name HABIT OPCO-SPRINGFIELD
Street 511 EAST COLUMBUS AVE
City SPRINGFIELD
State MA
ZIP 01105
Phone 413 733-3488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director NEAL LAKRITZ

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