22D2304880 CLIA NUMBER - BALANCED RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 22D2304880
  • Facility Name: BALANCED RECOVERY CENTER
  • Facility Address: 168 DENSLOW ROAD, #2
    EAST LONGMEADOW, MA
    ZIP 01028
  • Facility Phone: 508 963-5588
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. TINA I. RENDER
  • NPI Number: 1134978190
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2304880
LAB Type Comp. Outpatient Rehab Facility
Facility Name BALANCED RECOVERY CENTER
Street 168 DENSLOW ROAD, #2
City EAST LONGMEADOW
State MA
ZIP 01028
Phone 508 963-5588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. TINA I. RENDER

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