22D2042274 CLIA NUMBER - COOPERATIVE FOR HUMAN SERVICES, INC

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Laboratory Demographics

CLIA Number: 22D2042274

Facility Name: COOPERATIVE FOR HUMAN SERVICES, INC

Facility Address:
420 BEDFORD ST, SUITE 100
LEXINGTON, MA
ZIP 02420
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Facility Phone Number: 781 538-4626

Facility Type: Other - GROUP HOME MR/DD

Certificate Type: Waiver

NPI Number: 1811395114

Taxonomy: 253J00000X - Foster Care Agency
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

CLIA Record

Field Name	Field Value
CLIA Number	22D2042274
LAB Type	Other - GROUP HOME MR/DD
Facility Name	COOPERATIVE FOR HUMAN SERVICES, INC
Street	420 BEDFORD ST, SUITE 100
City	LEXINGTON
State	MA
ZIP	02420
Phone	781 538-4626
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024