22D2129040 CLIA NUMBER - HAMILTON HOUSE

Laboratory Demographics

  • CLIA Code: 22D2129040
  • Facility Name: HAMILTON HOUSE
  • Facility Address: 25 MT IDA RD
    DORCHESTER, MA
    ZIP 02122
  • Facility Phone: 617 268-5000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN P. MCGAHAN
  • NPI Number: 1518575240
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2129040
LAB Type Practitioner Other
Facility Name HAMILTON HOUSE
Street 25 MT IDA RD
City DORCHESTER
State MA
ZIP 02122
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