22D0926576 CLIA NUMBER - WEST RIVER HOME HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 22D0926576
  • Facility Name: WEST RIVER HOME HEALTH, LLC
  • Facility Address: 57 WELLS AVENUE SUITE 20A
    NEWTON, MA
    ZIP 02459
  • Facility Phone: 781 707-9578
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KALI HART
  • NPI Number: 1336675263
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 22D0926576
LAB Type Home Health Agency
Facility Name WEST RIVER HOME HEALTH, LLC
Street 57 WELLS AVENUE SUITE 20A
City NEWTON
State MA
ZIP 02459
Phone 781 707-9578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Home Health Agency
Lab Director KALI HART

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