22D2209550 CLIA NUMBER - BROOKHAVEN ASSISTED CARE, LLC

Laboratory Demographics

  • CLIA Code: 22D2209550
  • Facility Name: BROOKHAVEN ASSISTED CARE, LLC
  • Facility Address: 19 WEST MAIN STREET
    WEST BROOKFIELD, MA
    ZIP 01585
  • Facility Phone: 508 847-5662
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERIN M. GLAZIER
  • NPI Number: 1457476095
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2209550
LAB Type Assisted Living Facility
Facility Name BROOKHAVEN ASSISTED CARE, LLC
Street 19 WEST MAIN STREET
City WEST BROOKFIELD
State MA
ZIP 01585
Phone 508 847-5662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Assisted Living Facility
Lab Director ERIN M. GLAZIER

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