22D2292111 CLIA NUMBER - RIVERSIDE COMMUNITY CARE, INC

Laboratory Demographics

  • CLIA Code: 22D2292111
  • Facility Name: RIVERSIDE COMMUNITY CARE, INC
  • Facility Address: 117 SUMMER STREET, 2ND FLOOR
    SOMERVILLE, MA
    ZIP 02143
  • Facility Phone: 781 600-4751
  • Facility Type: Other - OUTPATIENT BEHAVIORAL HTH
  • Facility Type: Waiver
  • Lab Director: ASIA TAYLOR
  • NPI Number: 1659535995
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 22D2292111
LAB Type Other - OUTPATIENT BEHAVIORAL HTH
Facility Name RIVERSIDE COMMUNITY CARE, INC
Street 117 SUMMER STREET, 2ND FLOOR
City SOMERVILLE
State MA
ZIP 02143
Phone 781 600-4751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Other - OUTPATIENT BEHAVIORAL HTH
Lab Director ASIA TAYLOR

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