22D1080991 CLIA NUMBER - HOSPICE OF THE GOOD SHEPARD

Laboratory Demographics

  • CLIA Code: 22D1080991
  • Facility Name: HOSPICE OF THE GOOD SHEPARD
  • Facility Address: 160 WELLS AVENUE
    NEWTON, MA
    ZIP 02459
  • Facility Phone: 617 969-6130
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TIMOTHY W. BOON
  • NPI Number: 1053311514
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 22D1080991
LAB Type Hospice
Facility Name HOSPICE OF THE GOOD SHEPARD
Street 160 WELLS AVENUE
City NEWTON
State MA
ZIP 02459
Phone 617 969-6130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Hospice
Lab Director TIMOTHY W. BOON

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This page was last updated on: 6/4/2025