22D0677249 CLIA NUMBER - ACTON PUBLIC HEALTH NURSING SERVICE

Laboratory Demographics

  • CLIA Code: 22D0677249
  • Facility Name: ACTON PUBLIC HEALTH NURSING SERVICE
  • Facility Address: 472 MAIN STREET
    ACTON, MA
    ZIP 01720
  • Facility Phone: 978 264-9653
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KATHLEEN FORD MS RN
  • NPI Number: 1376597104
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D0677249
LAB Type Home Health Agency
Facility Name ACTON PUBLIC HEALTH NURSING SERVICE
Street 472 MAIN STREET
City ACTON
State MA
ZIP 01720
Phone 978 264-9653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Home Health Agency
Lab Director KATHLEEN FORD MS RN

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