22D2311336 CLIA NUMBER - ALTA BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 22D2311336
  • Facility Name: ALTA BEHAVIORAL HEALTH
  • Facility Address: 890 EAST STREET, SUITE 5
    TEWKSBURY, MA
    ZIP 01876
  • Facility Phone: 978 955-5758
  • Facility Type: Other - OUTPATIENT SUD
  • Facility Type: Waiver
  • Lab Director: OWEN C. HEALEY
  • NPI Number: 1285405753
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2311336
LAB Type Other - OUTPATIENT SUD
Facility Name ALTA BEHAVIORAL HEALTH
Street 890 EAST STREET, SUITE 5
City TEWKSBURY
State MA
ZIP 01876
Phone 978 955-5758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Other - OUTPATIENT SUD
Lab Director OWEN C. HEALEY

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