22D2218791 CLIA NUMBER - RESIDENCE AT VALLEY FARM

Laboratory Demographics

  • CLIA Code: 22D2218791
  • Facility Name: RESIDENCE AT VALLEY FARM
  • Facility Address: 369 POND ST
    ASHLAND, MA
    ZIP 01721
  • Facility Phone: 508 532-3197
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SOUZA TIFFANY
  • NPI Number: 1134593858
  • Taxonomy: 3104A0630X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2218791
LAB Type Assisted Living Facility
Facility Name RESIDENCE AT VALLEY FARM
Street 369 POND ST
City ASHLAND
State MA
ZIP 01721
Phone 508 532-3197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Assisted Living Facility
Lab Director SOUZA TIFFANY

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