22D2092182 CLIA NUMBER - FORTCOM HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 22D2092182
  • Facility Name: FORTCOM HEALTH SERVICES
  • Facility Address: 300 CONGRESS STREET SUITE 314
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 617 229-6161
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: COMFORT MUYIDE
  • NPI Number: 1558658625
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 22D2092182
LAB Type Home Health Agency
Facility Name FORTCOM HEALTH SERVICES
Street 300 CONGRESS STREET SUITE 314
City QUINCY
State MA
ZIP 02169
Phone 617 229-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Home Health Agency
Lab Director COMFORT MUYIDE

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