CLIA lab
CLIA 22D2185467: Lake Avenue Recovery LLC
Worcester, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2185467 belongs to Lake Avenue Recovery LLC in Worcester, MA.
Certificate of Waiver, effective June 4, 2026, expires June 3, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 4, 2026
- Certificate expiration
- June 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 2020
- Facility type
- Comprehensive outpatient rehab facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 22D2185467
- Lab name
- Lake Avenue Recovery LLC
- Address
- 425 Lake Avenue N, Worcester, MA 01605
- Phone
- (508) 794-4400
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Abby Kelley Foster Charter Public SchoolCertificate of Waiver, School or student health service22D2300391
- Acclaim Home HealthcareCertificate of Waiver, Home health agency22D1053802
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- Adcare Hospital of Worcester, IncCertificate of Waiver, Hospital22D0069698
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- Afc Physicians of Ma DBA Afc Urgent CareCertificate of Waiver, Other22D2278715
Related
Questions
What is the CLIA number for Lake Avenue Recovery LLC in Worcester?
22D2185467, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Avenue Recovery LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2185467 expire?
The CMS file lists June 3, 2028 as the certificate expiration date; the certificate took effect June 4, 2026.