22D2319569 CLIA NUMBER - INFINITE REVIVAL, PC

Laboratory Demographics

  • CLIA Code: 22D2319569
  • Facility Name: INFINITE REVIVAL, PC
  • Facility Address: 235 TAUNTON AVE
    SEEKONK, MA
    ZIP 02771
  • Facility Phone: 508 557-1432
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CYNTHIA M. FAGUNDES
  • NPI Number: 1467282061
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2319569
LAB Type Practitioner Other
Facility Name INFINITE REVIVAL, PC
Street 235 TAUNTON AVE
City SEEKONK
State MA
ZIP 02771
Phone 508 557-1432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Practitioner Other
Lab Director CYNTHIA M. FAGUNDES

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