22D2158791 CLIA NUMBER - T MASSACHUSETTS DBA HOSPITAL FOR BEHAVIORAL MEDICINE

Laboratory Demographics

  • CLIA Code: 22D2158791
  • Facility Name: T MASSACHUSETTS DBA HOSPITAL FOR BEHAVIORAL MEDICINE
  • Facility Address: 100 CENTURY DRIVE
    WORCESTER, MA
    ZIP 01606
  • Facility Phone: 774 312-1910
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KARYN ROSSACCI
  • NPI Number: 1962053694
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 22D2158791
LAB Type Hospital
Facility Name T MASSACHUSETTS DBA HOSPITAL FOR BEHAVIORAL MEDICINE
Street 100 CENTURY DRIVE
City WORCESTER
State MA
ZIP 01606
Phone 774 312-1910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Hospital
Lab Director KARYN ROSSACCI

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