22D2205256 CLIA NUMBER - REVOLUTION AT CHARLWELL

Laboratory Demographics

  • CLIA Code: 22D2205256
  • Facility Name: REVOLUTION AT CHARLWELL
  • Facility Address: 305 WALPOLE STREET
    NORWOOD, MA
    ZIP 02062
  • Facility Phone: 781 762-7700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. ROBERTS
  • NPI Number: 1013572080
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2205256
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REVOLUTION AT CHARLWELL
Street 305 WALPOLE STREET
City NORWOOD
State MA
ZIP 02062
Phone 781 762-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRISTOPHER J. ROBERTS

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