22D2123306 CLIA NUMBER - BRIGHTVIEW CANTON LLC (DBA BRIGHTVIEW CANTON LLC

Laboratory Demographics

  • CLIA Code: 22D2123306
  • Facility Name: BRIGHTVIEW CANTON LLC (DBA BRIGHTVIEW CANTON LLC
  • Facility Address: 125 TURNPIKE ST
    CANTON, MA
    ZIP 02021
  • Facility Phone: 781 298-3407
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FRED KELLY
  • NPI Number: 1407398449
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2123306
LAB Type Assisted Living Facility
Facility Name BRIGHTVIEW CANTON LLC (DBA BRIGHTVIEW CANTON LLC
Street 125 TURNPIKE ST
City CANTON
State MA
ZIP 02021
Phone 781 298-3407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Assisted Living Facility
Lab Director FRED KELLY

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