22D2307222 CLIA NUMBER - NS RECOVERY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 22D2307222
  • Facility Name: NS RECOVERY SERVICES LLC
  • Facility Address: 196 BOSTON AVENUE, SUITE 3400
    MEDFORD, MA
    ZIP 02155
  • Facility Phone: 781 679-5454
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER MOORE
  • NPI Number: 1659145233
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2307222
LAB Type Ancillary Testing Site in Health Care Center
Facility Name NS RECOVERY SERVICES LLC
Street 196 BOSTON AVENUE, SUITE 3400
City MEDFORD
State MA
ZIP 02155
Phone 781 679-5454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JENNIFER MOORE

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