22D2202615 CLIA NUMBER - SOPHIA SNOW HOUSE INC

Laboratory Demographics

  • CLIA Code: 22D2202615
  • Facility Name: SOPHIA SNOW HOUSE INC
  • Facility Address: 1215 CENTRE ST
    WEST ROXBURY, MA
    ZIP 02132
  • Facility Phone: 617 325-7900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGELLA BURNS
  • NPI Number: 1265608236
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2202615
LAB Type Assisted Living Facility
Facility Name SOPHIA SNOW HOUSE INC
Street 1215 CENTRE ST
City WEST ROXBURY
State MA
ZIP 02132
Phone 617 325-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Assisted Living Facility
Lab Director ANGELLA BURNS

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