22D2218700 CLIA NUMBER - STANDISH VILLAGE ASSISTED LIVING RESIDENCE

Laboratory Demographics

  • CLIA Code: 22D2218700
  • Facility Name: STANDISH VILLAGE ASSISTED LIVING RESIDENCE
  • Facility Address: 1190 ADAMS ST
    BOSTON, MA
    ZIP 02124
  • Facility Phone: 617 298-5656
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JULIE WILLIAMSON
  • NPI Number: 1821418146
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2218700
LAB Type Assisted Living Facility
Facility Name STANDISH VILLAGE ASSISTED LIVING RESIDENCE
Street 1190 ADAMS ST
City BOSTON
State MA
ZIP 02124
Phone 617 298-5656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Assisted Living Facility
Lab Director JULIE WILLIAMSON

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