22D2314081 CLIA NUMBER - EPIPHANY WELLNESS MASSACHUSETTS LLC

Laboratory Demographics

  • CLIA Code: 22D2314081
  • Facility Name: EPIPHANY WELLNESS MASSACHUSETTS LLC
  • Facility Address: 257 TURNPIKE RD STE 200
    SOUTHBOROUGH, MA
    ZIP 01772
  • Facility Phone: 774 445-1020
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ERIKA STEINBRENNER
  • NPI Number: 1679302517
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2314081
LAB Type Comp. Outpatient Rehab Facility
Facility Name EPIPHANY WELLNESS MASSACHUSETTS LLC
Street 257 TURNPIKE RD STE 200
City SOUTHBOROUGH
State MA
ZIP 01772
Phone 774 445-1020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ERIKA STEINBRENNER

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