22D2146290 CLIA NUMBER - JETHRO HEALTH SYSTEM LLC

Laboratory Demographics

  • CLIA Code: 22D2146290
  • Facility Name: JETHRO HEALTH SYSTEM LLC
  • Facility Address: 330 LYNNWAY STE 346
    LYNN, MA
    ZIP 01901
  • Facility Phone: 781 215-6125
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANUTA P. OGECHUKWU
  • NPI Number: 1700308244
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2146290
LAB Type Home Health Agency
Facility Name JETHRO HEALTH SYSTEM LLC
Street 330 LYNNWAY STE 346
City LYNN
State MA
ZIP 01901
Phone 781 215-6125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Home Health Agency
Lab Director ANUTA P. OGECHUKWU

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