22D2305506 CLIA NUMBER - KEY PROGRAM, INC

Laboratory Demographics

  • CLIA Code: 22D2305506
  • Facility Name: KEY PROGRAM, INC
  • Facility Address: 104 LINCOLN ST
    WORCESTER, MA
    ZIP 01605
  • Facility Phone: 508 877-3690
  • Facility Type: Other - DCF ADOLESCENT GROUP HOME
  • Facility Type: Waiver
  • Lab Director: TAMMY MELLO
  • NPI Number: 1649395583
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2305506
LAB Type Other - DCF ADOLESCENT GROUP HOME
Facility Name KEY PROGRAM, INC
Street 104 LINCOLN ST
City WORCESTER
State MA
ZIP 01605
Phone 508 877-3690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Other - DCF ADOLESCENT GROUP HOME
Lab Director TAMMY MELLO

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