22D0885242 CLIA NUMBER - BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM

Laboratory Demographics

  • CLIA Code: 22D0885242
  • Facility Name: BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM
  • Facility Address: 780 ALBANY ST
    BOSTON, MA
    ZIP 02118
  • Facility Phone: 857 654-1679
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DENISE DE LAS NUECES
  • NPI Number: 1750958807
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0885242
LAB Type Federally Qualified Health Center
Facility Name BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM
Street 780 ALBANY ST
City BOSTON
State MA
ZIP 02118
Phone 857 654-1679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Federally Qualified Health Center
Lab Director DENISE DE LAS NUECES

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This page was last updated on: 3/20/2025