22D2170682 CLIA NUMBER - HOPE INTEGRATIVE CARE

Laboratory Demographics

  • CLIA Code: 22D2170682
  • Facility Name: HOPE INTEGRATIVE CARE
  • Facility Address: 211 QUINCY ST
    BROCKTON, MA
    ZIP 02302
  • Facility Phone: 781 573-3977
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HONG TRUONG
  • NPI Number: 1518419167
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2170682
LAB Type Physician Office
Facility Name HOPE INTEGRATIVE CARE
Street 211 QUINCY ST
City BROCKTON
State MA
ZIP 02302
Phone 781 573-3977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director HONG TRUONG

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