22D2141338 CLIA NUMBER - COMMUNITY HEALTH CARE, INC DBA HEALTH CARE RESOURCE CENTERS - PEABODY

Laboratory Demographics

CLIA Number: 22D2141338

Facility Name: COMMUNITY HEALTH CARE, INC DBA HEALTH CARE RESOURCE CENTERS - PEABODY

Facility Address:
172 NEWBURY ST
PEABODY, MA
ZIP 01960
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Facility Phone Number: 978 535-9190

Facility Type: Other - OUTPATIENT TREATMENT PROG

Certificate Type: Waiver

NPI Number: 1912980251

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D2141338
LAB Type	Other - OUTPATIENT TREATMENT PROG
Facility Name	COMMUNITY HEALTH CARE, INC DBA HEALTH CARE RESOURCE CENTERS - PEABODY
Street	172 NEWBURY ST
City	PEABODY
State	MA
ZIP	01960
Phone	978 535-9190
CertificateType	4
CertificateEffectiveDate	12/12/2023
CertificateExpirationDate	12/11/2025
FacilityType	Waiver

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