22D2192039 CLIA NUMBER - BEAR MT WEST ROXBURY, LLC

Laboratory Demographics

  • CLIA Code: 22D2192039
  • Facility Name: BEAR MT WEST ROXBURY, LLC
  • Facility Address: 5060 WASHINGTON STREET
    WEST ROXBURY, MA
    ZIP 02132
  • Facility Phone: 617 323-5440
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK URMAN
  • NPI Number: 1689140428
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2192039
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAR MT WEST ROXBURY, LLC
Street 5060 WASHINGTON STREET
City WEST ROXBURY
State MA
ZIP 02132
Phone 617 323-5440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK URMAN

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