22D1088391 CLIA NUMBER - PRIMARY HOME CARE SPECIALTIES LLC

Laboratory Demographics

  • CLIA Code: 22D1088391
  • Facility Name: PRIMARY HOME CARE SPECIALTIES LLC
  • Facility Address: 75 ADAMS STREET SUITE D
    MILTON, MA
    ZIP 02186
  • Facility Phone: 617 696-0600
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CELESTE CEFALU
  • NPI Number: 1205869575
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D1088391
LAB Type Home Health Agency
Facility Name PRIMARY HOME CARE SPECIALTIES LLC
Street 75 ADAMS STREET SUITE D
City MILTON
State MA
ZIP 02186
Phone 617 696-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Home Health Agency
Lab Director CELESTE CEFALU

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