22D0884529 CLIA NUMBER - LYNN HOME FOR ELDERLY PERSONS

Laboratory Demographics

CLIA Number: 22D0884529

Facility Name: LYNN HOME FOR ELDERLY PERSONS

Facility Address:
1 ATLANTIC TERRACE
LYNN, MA
ZIP 01902
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Facility Phone Number: 617 593-8099

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1861619363

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	22D0884529
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LYNN HOME FOR ELDERLY PERSONS
Street	1 ATLANTIC TERRACE
City	LYNN
State	MA
ZIP	01902
Phone	617 593-8099
CertificateType	4
CertificateEffectiveDate	4/4/2024
CertificateExpirationDate	4/3/2026
FacilityType	Waiver

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