22D2209159 CLIA NUMBER - MIDDLESEX HUMAN SERVICE AGENCY

Laboratory Demographics

  • CLIA Code: 22D2209159
  • Facility Name: MIDDLESEX HUMAN SERVICE AGENCY
  • Facility Address: 50 PROSPECT ST STE 3
    WALTHAM, MA
    ZIP 02453
  • Facility Phone: 781 894-6110
  • Facility Type: Other - CONGREGATE CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT MILLS
  • NPI Number: 1700394962
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2209159
LAB Type Other - CONGREGATE CARE
Facility Name MIDDLESEX HUMAN SERVICE AGENCY
Street 50 PROSPECT ST STE 3
City WALTHAM
State MA
ZIP 02453
Phone 781 894-6110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Other - CONGREGATE CARE
Lab Director ROBERT MILLS

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