CLIA lab

CLIA 22D2225560: Haven Detox Ma Operating Subsidiary, LLC

Worcester, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 22D2225560 belongs to Haven Detox Ma Operating Subsidiary, LLC in Worcester, MA.

Certificate of Waiver, effective May 21, 2025, expires May 20, 2027.

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
May 21, 2025
Certificate expiration
May 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 21, 2021
Facility type
Other
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
22D2225560
Lab name
Haven Detox Ma Operating Subsidiary, LLC
Address
1369 Grafton St, Worcester, MA 01604
Phone
(561) 307-1212
Fax
(581) 584-5833

Annual test volume the lab reported

Waived tests
3,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Worcester, MA

Related

Questions

What is the CLIA number for Haven Detox Ma Operating Subsidiary, LLC in Worcester?

22D2225560, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Haven Detox Ma Operating Subsidiary, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D2225560 expire?

The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.

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