22D2287975 CLIA NUMBER - MARTHA'S VINEYARD COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 22D2287975
  • Facility Name: MARTHA'S VINEYARD COMMUNITY SERVICES
  • Facility Address: 111 EDGARTOWN RD
    VINEYARD HAVEN, MA
    ZIP 02568
  • Facility Phone: 508 693-7900
  • Facility Type: Other - OUTPATIENT BEHAVIORAL HEA
  • Facility Type: Waiver
  • Lab Director: CHARLES SILBERSTEIN
  • NPI Number: 1891128484
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2287975
LAB Type Other - OUTPATIENT BEHAVIORAL HEA
Facility Name MARTHA'S VINEYARD COMMUNITY SERVICES
Street 111 EDGARTOWN RD
City VINEYARD HAVEN
State MA
ZIP 02568
Phone 508 693-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Other - OUTPATIENT BEHAVIORAL HEA
Lab Director CHARLES SILBERSTEIN

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