22D2111533 CLIA NUMBER - LA ALIANZA HISPANA ADULT DAY HEALTH

Laboratory Demographics

  • CLIA Code: 22D2111533
  • Facility Name: LA ALIANZA HISPANA ADULT DAY HEALTH
  • Facility Address: 1000 MASSACHUSETTS AVE STE 101
    BOSTON, MA
    ZIP 02130
  • Facility Phone: 617 427-7175
  • Facility Type: Other - ADULT DAY HEALTH PROGRAM
  • Facility Type: Waiver
  • Lab Director: MARISOL AMAYA
  • NPI Number: 1023232998
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2111533
LAB Type Other - ADULT DAY HEALTH PROGRAM
Facility Name LA ALIANZA HISPANA ADULT DAY HEALTH
Street 1000 MASSACHUSETTS AVE STE 101
City BOSTON
State MA
ZIP 02130
Phone 617 427-7175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Other - ADULT DAY HEALTH PROGRAM
Lab Director MARISOL AMAYA

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