22D1056673 CLIA NUMBER - CENTRUS PREMIER HOME CARE INC D/B/A MAXIM HEALTHCARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 22D1056673
  • Facility Name: CENTRUS PREMIER HOME CARE INC D/B/A MAXIM HEALTHCARE SERVICES INC
  • Facility Address: 225 WATER STREET SUITE C-101
    PLYMOUTH, MA
    ZIP 02360
  • Facility Phone: 508 747-3521
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LEE MOGREN
  • NPI Number: 1194711226
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D1056673
LAB Type Home Health Agency
Facility Name CENTRUS PREMIER HOME CARE INC D/B/A MAXIM HEALTHCARE SERVICES INC
Street 225 WATER STREET SUITE C-101
City PLYMOUTH
State MA
ZIP 02360
Phone 508 747-3521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Home Health Agency
Lab Director LEE MOGREN

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