22D2221343 CLIA NUMBER - KRE-BSL HUSKY EVANS PARK OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 22D2221343
  • Facility Name: KRE-BSL HUSKY EVANS PARK OPERATIONS LLC
  • Facility Address: 430 CENTRE ST
    NEWTON, MA
    ZIP 02458
  • Facility Phone: 617 965-9400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALLEN SMITH
  • NPI Number: 1558994939
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2221343
LAB Type Assisted Living Facility
Facility Name KRE-BSL HUSKY EVANS PARK OPERATIONS LLC
Street 430 CENTRE ST
City NEWTON
State MA
ZIP 02458
Phone 617 965-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Assisted Living Facility
Lab Director ALLEN SMITH

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