22D2218262 CLIA NUMBER - JEREMIAH'S INN

Laboratory Demographics

  • CLIA Code: 22D2218262
  • Facility Name: JEREMIAH'S INN
  • Facility Address: 1059 WORCESTER STREET
    WORCESTER, MA
    ZIP 01603
  • Facility Phone: 508 755-6403
  • Facility Type: Other - RESIDENTIAL RECOVERY
  • Facility Type: Waiver
  • Lab Director: RICHARD QUINLAN
  • NPI Number: 1679019731
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2218262
LAB Type Other - RESIDENTIAL RECOVERY
Facility Name JEREMIAH'S INN
Street 1059 WORCESTER STREET
City WORCESTER
State MA
ZIP 01603
Phone 508 755-6403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Other - RESIDENTIAL RECOVERY
Lab Director RICHARD QUINLAN

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