22D2184185 CLIA NUMBER - SULLY HOME CARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 22D2184185
  • Facility Name: SULLY HOME CARE SERVICES INC
  • Facility Address: 490 WEST MAIN ST
    AVON, MA
    ZIP 02322
  • Facility Phone: 508 510-6963
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HUDSON M. TELUSMA
  • NPI Number: 1881281558
  • Taxonomy: 347E00000X - Transportation Broker

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CLIA Record

Field Name Field Value
CLIA Number 22D2184185
LAB Type Home Health Agency
Facility Name SULLY HOME CARE SERVICES INC
Street 490 WEST MAIN ST
City AVON
State MA
ZIP 02322
Phone 508 510-6963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Home Health Agency
Lab Director HUDSON M. TELUSMA

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