22D1079685 CLIA NUMBER - MOUNT PLEASANT HOME

Laboratory Demographics

  • CLIA Code: 22D1079685
  • Facility Name: MOUNT PLEASANT HOME
  • Facility Address: 301 SOUTH HUNTINGTON AVENUE
    BOSTON, MA
    ZIP 02130
  • Facility Phone: 617 522-7600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MERLIN G. SOUTHWICK
  • NPI Number: 1942296793
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D1079685
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MOUNT PLEASANT HOME
Street 301 SOUTH HUNTINGTON AVENUE
City BOSTON
State MA
ZIP 02130
Phone 617 522-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MERLIN G. SOUTHWICK

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