22D2249362 CLIA NUMBER - OC MONASTERY LLC (DBA - PROSPER AT MONASTERY HEIGHTS)

Laboratory Demographics

  • CLIA Code: 22D2249362
  • Facility Name: OC MONASTERY LLC (DBA - PROSPER AT MONASTERY HEIGHTS)
  • Facility Address: 110 MONASTERY AVENUE
    WEST SPRINGFIELD, MA
    ZIP 01089
  • Facility Phone: 508 324-7960
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NANCY GODBOUT
  • NPI Number: 1831798693
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2249362
LAB Type Assisted Living Facility
Facility Name OC MONASTERY LLC (DBA - PROSPER AT MONASTERY HEIGHTS)
Street 110 MONASTERY AVENUE
City WEST SPRINGFIELD
State MA
ZIP 01089
Phone 508 324-7960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Assisted Living Facility
Lab Director NANCY GODBOUT

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