22D2269353 CLIA NUMBER - MASSACHUSETTS PSYCHIATRIC SERVICES

Laboratory Demographics

  • CLIA Code: 22D2269353
  • Facility Name: MASSACHUSETTS PSYCHIATRIC SERVICES
  • Facility Address: 258 MAIN STREET
    STURBRIDGE, MA
    ZIP 01566
  • Facility Phone: 508 418-6888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEENAKSHI VEMURI
  • NPI Number: 1265989453
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 22D2269353
LAB Type Physician Office
Facility Name MASSACHUSETTS PSYCHIATRIC SERVICES
Street 258 MAIN STREET
City STURBRIDGE
State MA
ZIP 01566
Phone 508 418-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director MEENAKSHI VEMURI

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