22D2113852 CLIA NUMBER - BEAR MT PARKWAY LLC (PARKWAY HEALTH & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 22D2113852
  • Facility Name: BEAR MT PARKWAY LLC (PARKWAY HEALTH & REHABILITATION CENTER
  • Facility Address: 1190 VFW PARKWAY
    WEST ROXBURY, MA
    ZIP 02132
  • Facility Phone: 617 325-1688
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHIDEH AMIRIFELI
  • NPI Number: 1306311030
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2113852
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAR MT PARKWAY LLC (PARKWAY HEALTH & REHABILITATION CENTER
Street 1190 VFW PARKWAY
City WEST ROXBURY
State MA
ZIP 02132
Phone 617 325-1688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHIDEH AMIRIFELI

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This page was last updated on: 3/20/2025