22D0079330 CLIA NUMBER - MASS GENERAL BRIGHAM HOME CARE INC

Laboratory Demographics

CLIA Number: 22D0079330

Facility Name: MASS GENERAL BRIGHAM HOME CARE INC

Facility Address:
95 WELLS AVENUE SUITE 320
NEWTON, MA
ZIP 02459
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Facility Phone Number: 844 744-4200

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1972567824

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	22D0079330
LAB Type	Home Health Agency
Facility Name	MASS GENERAL BRIGHAM HOME CARE INC
Street	95 WELLS AVENUE SUITE 320
City	NEWTON
State	MA
ZIP	02459
Phone	844 744-4200
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024