22D2198555 CLIA NUMBER - WG LONGMEADOW PLACE SH, LLC

Laboratory Demographics

  • CLIA Code: 22D2198555
  • Facility Name: WG LONGMEADOW PLACE SH, LLC
  • Facility Address: 42 MALL RD
    BURLINGTON, MA
    ZIP 01803
  • Facility Phone: 781 270-9008
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MONIQUE ALCINDOR
  • NPI Number: 1962841031
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2198555
LAB Type Assisted Living Facility
Facility Name WG LONGMEADOW PLACE SH, LLC
Street 42 MALL RD
City BURLINGTON
State MA
ZIP 01803
Phone 781 270-9008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Assisted Living Facility
Lab Director MONIQUE ALCINDOR

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