CLIA lab
CLIA 22D2196867: Northbridge Dartmouth Subtenant, LLC
North Dartmouth, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D2196867 belongs to Northbridge Dartmouth Subtenant, LLC in North Dartmouth, MA.
Certificate of Waiver, effective October 20, 2024, expiration date October 19, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 20, 2024
- Certificate expiration
- October 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2020
- Facility type
- Assisted living 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
- 22D2196867
- Lab name
- Northbridge Dartmouth Subtenant, LLC
- Additional name
- Autumn Glen
- Address
- 239 Cross Road, North Dartmouth, MA 02747
- Phone
- (508) 992-8880
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Northbridge Dartmouth Subtenant, LLC in North Dartmouth?
22D2196867, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northbridge Dartmouth Subtenant, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D2196867 expire?
The CMS file lists October 19, 2026 as the certificate expiration date; the certificate took effect October 20, 2024.