22D2244472 CLIA NUMBER - BASS RIVER INC

Laboratory Demographics

  • CLIA Code: 22D2244472
  • Facility Name: BASS RIVER INC
  • Facility Address: 23R ANDOVER STREET
    PEABODY, MA
    ZIP 01960
  • Facility Phone: (978) 927-5326
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: JACKIE R. SILVA
  • NPI Number: 1487780805
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 22D2244472
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name BASS RIVER INC
Street 23R ANDOVER STREET
City PEABODY
State MA
ZIP 01960
Phone 9789275326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2025
Certificate Expiration Date 12/1/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director JACKIE R. SILVA

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This page was last updated on: 5/18/2026