22D2244360 CLIA NUMBER - MASSACHUSETTS DETOX CENTERS, INC

Laboratory Demographics

  • CLIA Code: 22D2244360
  • Facility Name: MASSACHUSETTS DETOX CENTERS, INC
  • Facility Address: 362 MIDDLESEX AVENUE
    WILMINGTON, MA
    ZIP 01887
  • Facility Phone: 978 471-8124
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DAVID RAY
  • NPI Number: 1699442475
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2244360
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name MASSACHUSETTS DETOX CENTERS, INC
Street 362 MIDDLESEX AVENUE
City WILMINGTON
State MA
ZIP 01887
Phone 978 471-8124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DAVID RAY

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