22D2057542 CLIA NUMBER - BOSTON HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 22D2057542
  • Facility Name: BOSTON HOME CARE LLC
  • Facility Address: 191A REVERE ST
    REVERE, MA
    ZIP 02151
  • Facility Phone: 781 284-2273
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MAAZA SHAWANGIZOW
  • NPI Number: 1467791251
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 22D2057542
LAB Type Home Health Agency
Facility Name BOSTON HOME CARE LLC
Street 191A REVERE ST
City REVERE
State MA
ZIP 02151
Phone 781 284-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Home Health Agency
Lab Director MAAZA SHAWANGIZOW

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