22D2237443 CLIA NUMBER - HOMESTEAD HALL

Laboratory Demographics

  • CLIA Code: 22D2237443
  • Facility Name: HOMESTEAD HALL
  • Facility Address: 10 HOMESTEAD AVENUE
    WORCESTER, MA
    ZIP 01610
  • Facility Phone: 508 459-2023
  • Facility Type: Other - REST HOME
  • Facility Type: Waiver
  • Lab Director: JOAN E. CUSSON
  • NPI Number: 1912203217
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2237443
LAB Type Other - REST HOME
Facility Name HOMESTEAD HALL
Street 10 HOMESTEAD AVENUE
City WORCESTER
State MA
ZIP 01610
Phone 508 459-2023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Other - REST HOME
Lab Director JOAN E. CUSSON

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