22D2249372 CLIA NUMBER - TRISTAN NORTH ATTLEBORO PC

Laboratory Demographics

  • CLIA Code: 22D2249372
  • Facility Name: TRISTAN NORTH ATTLEBORO PC
  • Facility Address: 465 SOUTH WASHINGTON ST
    NORTH ATTLEBORO, MA
    ZIP 02760
  • Facility Phone: 508 316-0725
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN BREDA
  • NPI Number: 1265190383
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2249372
LAB Type Physician Office
Facility Name TRISTAN NORTH ATTLEBORO PC
Street 465 SOUTH WASHINGTON ST
City NORTH ATTLEBORO
State MA
ZIP 02760
Phone 508 316-0725
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 Physician Office
Lab Director JOHN BREDA

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