22D0889283 CLIA NUMBER - BOSTON HOME,THE

Laboratory Demographics

  • CLIA Code: 22D0889283
  • Facility Name: BOSTON HOME,THE
  • Facility Address: 2049 DORCHESTER AVE
    BOSTON, MA
    ZIP 02124
  • Facility Phone: 617 326-4292
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES M. SUGRUE
  • NPI Number: 1811990930
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0889283
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BOSTON HOME,THE
Street 2049 DORCHESTER AVE
City BOSTON
State MA
ZIP 02124
Phone 617 326-4292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAMES M. SUGRUE

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