22D2238475 CLIA NUMBER - KEYSTONE COMMONS, LLC

Laboratory Demographics

CLIA Number: 22D2238475

Facility Name: KEYSTONE COMMONS, LLC

Facility Address:
460 WEST STREET
LUDLOW, MA
ZIP 01056
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Facility Phone Number: 413 583-6611

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1689812414

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	22D2238475
LAB Type	Assisted Living Facility
Facility Name	KEYSTONE COMMONS, LLC
Street	460 WEST STREET
City	LUDLOW
State	MA
ZIP	01056
Phone	413 583-6611
CertificateType	4
CertificateEffectiveDate	10/5/2023
CertificateExpirationDate	10/4/2025
FacilityType	Waiver

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