22D2289728 CLIA NUMBER - BRISTOL HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 22D2289728
  • Facility Name: BRISTOL HOSPICE LLC
  • Facility Address: 1 FATHER DEVALLES BLVD STE 309
    FALL RIVER, MA
    ZIP 02723
  • Facility Phone: 774 379-7232
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHARLES HACKETT
  • NPI Number: 1225602097
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 22D2289728
LAB Type Hospice
Facility Name BRISTOL HOSPICE LLC
Street 1 FATHER DEVALLES BLVD STE 309
City FALL RIVER
State MA
ZIP 02723
Phone 774 379-7232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Hospice
Lab Director CHARLES HACKETT

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