22D2225560 CLIA NUMBER - HAVEN DETOX MA, LLC

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CLIA Record

Field Name Field Value
CLIA Number 22D2225560
LAB Type Other - DETOX(SUBSTANCE ABUSE)
Facility Name HAVEN DETOX MA, LLC
Street 1369 GRAFTON ST
City WORCESTER
State MA
ZIP 01604
Phone 561 305-0461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Other - DETOX(SUBSTANCE ABUSE)
Lab Director JOHN J. MARONEY

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