22D2209360 CLIA NUMBER - ST ANN'S HOME NURSING DEPARTMENT

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CLIA Code: 22D2209360
Facility Name: ST ANN'S HOME NURSING DEPARTMENT
Facility Address: 100A HAVERHILL STREET
METHUEN, MA
ZIP 01844
Facility Phone: 978 682-5276
Facility Type: Other - RESIDENTIAL PROGRAM
Facility Type: Waiver
Lab Director: JAMIE L. GEORGE
NPI Number: 1295482792
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	22D2209360
LAB Type	Other - RESIDENTIAL PROGRAM
Facility Name	ST ANN'S HOME NURSING DEPARTMENT
Street	100A HAVERHILL STREET
City	METHUEN
State	MA
ZIP	01844
Phone	978 682-5276
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/13/2025
Certificate Expiration Date	1/12/2027
Facility Type	Other - RESIDENTIAL PROGRAM
Lab Director	JAMIE L. GEORGE

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