22D1059479 CLIA NUMBER - NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC DBA BETH ISRAEL LAHEY HEALTH AT HOME

Laboratory Demographics

  • CLIA Code: 22D1059479
  • Facility Name: NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC DBA BETH ISRAEL LAHEY HEALTH AT HOME
  • Facility Address: 199 ROSEWOOD DR STE 380
    DANVERS, MA
    ZIP 01923
  • Facility Phone: 978 471-2206
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEBORAH COSTELLO
  • NPI Number: 1801970389
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1059479
LAB Type Home Health Agency
Facility Name NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC DBA BETH ISRAEL LAHEY HEALTH AT HOME
Street 199 ROSEWOOD DR STE 380
City DANVERS
State MA
ZIP 01923
Phone 978 471-2206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Home Health Agency
Lab Director DEBORAH COSTELLO

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