22D1039633 CLIA NUMBER - COMMONWEALTH CLINICAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 22D1039633
  • Facility Name: COMMONWEALTH CLINICAL SERVICES INC
  • Facility Address: 217 LINCOLN ST 2ND FL
    WINTHROP, MA
    ZIP 02152
  • Facility Phone: 617 846-7676
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SANDRA O. HURLEY
  • NPI Number: 1659338804
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D1039633
LAB Type Home Health Agency
Facility Name COMMONWEALTH CLINICAL SERVICES INC
Street 217 LINCOLN ST 2ND FL
City WINTHROP
State MA
ZIP 02152
Phone 617 846-7676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Home Health Agency
Lab Director SANDRA O. HURLEY

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