22D2194757 CLIA NUMBER - AFTERMATH ADDICTION TREATMENT CENTER, LLC

Laboratory Demographics

  • CLIA Code: 22D2194757
  • Facility Name: AFTERMATH ADDICTION TREATMENT CENTER, LLC
  • Facility Address: 607 NORTH AVE
    WAKEFIELD, MA
    ZIP 01880
  • Facility Phone: 781 587-3636
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. BOUDREAU
  • NPI Number: 1578177598
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2194757
LAB Type Comp. Outpatient Rehab Facility
Facility Name AFTERMATH ADDICTION TREATMENT CENTER, LLC
Street 607 NORTH AVE
City WAKEFIELD
State MA
ZIP 01880
Phone 781 587-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director JENNIFER L. BOUDREAU

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