22D2126990 CLIA NUMBER - BRIDGEWATER STATE HOSPITAL

Laboratory Demographics

  • CLIA Code: 22D2126990
  • Facility Name: BRIDGEWATER STATE HOSPITAL
  • Facility Address: 20 ADMIN RD
    BRIDGEWATER, MA
    ZIP 02324
  • Facility Phone: 615 312-7226
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: DR. KHALID KHAN
  • NPI Number: 1952422701
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2126990
LAB Type Other - JAIL
Facility Name BRIDGEWATER STATE HOSPITAL
Street 20 ADMIN RD
City BRIDGEWATER
State MA
ZIP 02324
Phone 615 312-7226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Other - JAIL
Lab Director DR. KHALID KHAN

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