22D0959312 CLIA NUMBER - HALE HOUSE

Laboratory Demographics

  • CLIA Code: 22D0959312
  • Facility Name: HALE HOUSE
  • Facility Address: 273 CLARENDON STREET
    BOSTON, MA
    ZIP 02116
  • Facility Phone: 617 536-3726
  • Facility Type: Other - LEVEL IV REST HOME
  • Facility Type: Waiver
  • Lab Director: TRACEY C. CRAVEDI
  • NPI Number: 1912029349
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0959312
LAB Type Other - LEVEL IV REST HOME
Facility Name HALE HOUSE
Street 273 CLARENDON STREET
City BOSTON
State MA
ZIP 02116
Phone 617 536-3726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Other - LEVEL IV REST HOME
Lab Director TRACEY C. CRAVEDI

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