22D1029018 CLIA NUMBER - FIDELITY HOUSE INC

Laboratory Demographics

  • CLIA Code: 22D1029018
  • Facility Name: FIDELITY HOUSE INC
  • Facility Address: ATTN JOSHUA RYDER 439 SOUTH UNION STREET, SUITE 401
    LAWRENCE, MA
    ZIP 01843
  • Facility Phone: 978 685-9471
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MR. BRADLEY C. HOWELL
  • NPI Number: 1336471820
  • Taxonomy: 253J00000X - Foster Care Agency

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D1029018
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name FIDELITY HOUSE INC
Street ATTN JOSHUA RYDER 439 SOUTH UNION STREET, SUITE 401
City LAWRENCE
State MA
ZIP 01843
Phone 978 685-9471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MR. BRADLEY C. HOWELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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