22D2313787 CLIA NUMBER - KIWI RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 22D2313787
  • Facility Name: KIWI RECOVERY LLC
  • Facility Address: 86 BAKER AVE EXT SUITE 201
    CONCORD, MA
    ZIP 01742
  • Facility Phone: 617 545-3344
  • Facility Type: Other - MENTAL HEALTH FACILITY
  • Facility Type: Waiver
  • Lab Director: BRENNA FICHTER
  • NPI Number: 1699656595
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2313787
LAB Type Other - MENTAL HEALTH FACILITY
Facility Name KIWI RECOVERY LLC
Street 86 BAKER AVE EXT SUITE 201
City CONCORD
State MA
ZIP 01742
Phone 617 545-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Other - MENTAL HEALTH FACILITY
Lab Director BRENNA FICHTER

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