22D2314611 CLIA NUMBER - MASSACHUSETTS DETOX, LLC DBA BOCA RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 22D2314611
  • Facility Name: MASSACHUSETTS DETOX, LLC DBA BOCA RECOVERY CENTER
  • Facility Address: 200 KENDALL ST
    SPRINGFIELD, MA
    ZIP 01104
  • Facility Phone: 609 202-5669
  • Facility Type: Other - DETOX/SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: CHRIS FERRY
  • NPI Number: 1477373421
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2314611
LAB Type Other - DETOX/SUBSTANCE ABUSE
Facility Name MASSACHUSETTS DETOX, LLC DBA BOCA RECOVERY CENTER
Street 200 KENDALL ST
City SPRINGFIELD
State MA
ZIP 01104
Phone 609 202-5669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Other - DETOX/SUBSTANCE ABUSE
Lab Director CHRIS FERRY

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