22D2135830 CLIA NUMBER - MARILLAC RESIDENCE

Laboratory Demographics

  • CLIA Code: 22D2135830
  • Facility Name: MARILLAC RESIDENCE
  • Facility Address: 125 OAKLAND STREET
    WELLESLEY HILLS, MA
    ZIP 02481
  • Facility Phone: 781 997-1186
  • Facility Type: Other - LEVEL IV REST HOME
  • Facility Type: Waiver
  • Lab Director: SUSAN B. ROBITAILLE
  • NPI Number: 1972630317
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 22D2135830
LAB Type Other - LEVEL IV REST HOME
Facility Name MARILLAC RESIDENCE
Street 125 OAKLAND STREET
City WELLESLEY HILLS
State MA
ZIP 02481
Phone 781 997-1186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Other - LEVEL IV REST HOME
Lab Director SUSAN B. ROBITAILLE

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