22D2203610 CLIA NUMBER - LATHAM CENTERS, INC

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Laboratory Demographics

CLIA Number: 22D2203610

Facility Name: LATHAM CENTERS, INC

Facility Address:
1646 MAIN ST
BREWSTER, MA
ZIP 02631
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Facility Phone Number: 508 896-5776

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1467768812

Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	22D2203610
LAB Type	School/Student Health Service
Facility Name	LATHAM CENTERS, INC
Street	1646 MAIN ST
City	BREWSTER
State	MA
ZIP	02631
Phone	508 896-5776
CertificateType	4
CertificateEffectiveDate	12/4/2022
CertificateExpirationDate	12/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024