22D2216422 CLIA NUMBER - BROOKDALE ATTLEBORO

Laboratory Demographics

  • CLIA Code: 22D2216422
  • Facility Name: BROOKDALE ATTLEBORO
  • Facility Address: 100 GARFIELD AVE
    ATTLEBORO, MA
    ZIP 02703
  • Facility Phone: 508 222-6655
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DONNA KOTWICA
  • NPI Number: 1174658876
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2216422
LAB Type Assisted Living Facility
Facility Name BROOKDALE ATTLEBORO
Street 100 GARFIELD AVE
City ATTLEBORO
State MA
ZIP 02703
Phone 508 222-6655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Assisted Living Facility
Lab Director DONNA KOTWICA

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