22D2319905 CLIA NUMBER - TRIPLE E HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 22D2319905
  • Facility Name: TRIPLE E HEALTHCARE SERVICES LLC
  • Facility Address: 75 COOLIDGE AVENUE
    BROCKTON, MA
    ZIP 02302
  • Facility Phone: 617 888-5696
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BENEDICTA EIGBOKHAN
  • NPI Number: 1417793944
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2319905
LAB Type Home Health Agency
Facility Name TRIPLE E HEALTHCARE SERVICES LLC
Street 75 COOLIDGE AVENUE
City BROCKTON
State MA
ZIP 02302
Phone 617 888-5696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Home Health Agency
Lab Director BENEDICTA EIGBOKHAN

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