22D2188397 CLIA NUMBER - BEDROCK REHAB LLC

Laboratory Demographics

  • CLIA Code: 22D2188397
  • Facility Name: BEDROCK REHAB LLC
  • Facility Address: 1 MEADOWBROOK WAY
    CANTON, MA
    ZIP 02021
  • Facility Phone: 617 977-6580
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: RONALD E. BUGAOAN
  • NPI Number: 1891332193
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2188397
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BEDROCK REHAB LLC
Street 1 MEADOWBROOK WAY
City CANTON
State MA
ZIP 02021
Phone 617 977-6580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director RONALD E. BUGAOAN

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