22D2129023 CLIA NUMBER - CHARLESTOWN HOUSE

Laboratory Demographics

  • CLIA Code: 22D2129023
  • Facility Name: CHARLESTOWN HOUSE
  • Facility Address: 15 BUNKER HILL AVE
    CHARLESTOWN, MA
    ZIP 02129
  • Facility Phone: 617 268-5000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN P. MCGAHAN
  • NPI Number: 1063976165
  • Taxonomy: 111NR0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 22D2129023
LAB Type Practitioner Other
Facility Name CHARLESTOWN HOUSE
Street 15 BUNKER HILL AVE
City CHARLESTOWN
State MA
ZIP 02129
Phone 617 268-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Practitioner Other
Lab Director JOHN P. MCGAHAN

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