22D2162616 CLIA NUMBER - HEADLANDS EASTERN MA LLC

Laboratory Demographics

  • CLIA Code: 22D2162616
  • Facility Name: HEADLANDS EASTERN MA LLC
  • Facility Address: 45 RESNIK RD STE 205
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 746-5060
  • Facility Type: Other - CLINICAL RESEARCH
  • Facility Type: Waiver
  • Lab Director: DONALD S. MARKS
  • NPI Number: 1982680740
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 22D2162616
LAB Type Other - CLINICAL RESEARCH
Facility Name HEADLANDS EASTERN MA LLC
Street 45 RESNIK RD STE 205
City PLYMOUTH
State MA
ZIP 02360
Phone 508 746-5060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Other - CLINICAL RESEARCH
Lab Director DONALD S. MARKS

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