22D2074983 CLIA NUMBER - GRACIOUS CARE AGENCY LLC

Laboratory Demographics

  • CLIA Code: 22D2074983
  • Facility Name: GRACIOUS CARE AGENCY LLC
  • Facility Address: 1175 MAIN ST
    CLINTON, MA
    ZIP 01510
  • Facility Phone: 978 365-3323
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PIERRE E. OMELER
  • NPI Number: 1679903793
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2074983
LAB Type Home Health Agency
Facility Name GRACIOUS CARE AGENCY LLC
Street 1175 MAIN ST
City CLINTON
State MA
ZIP 01510
Phone 978 365-3323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Home Health Agency
Lab Director PIERRE E. OMELER

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