22D2274079 CLIA NUMBER - PREMIER SERVICES AT HOME LLC

Laboratory Demographics

  • CLIA Code: 22D2274079
  • Facility Name: PREMIER SERVICES AT HOME LLC
  • Facility Address: 121 BRICK KILN ROAD #214
    CHELMSFORD, MA
    ZIP 01824
  • Facility Phone: 978 654-1701
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MR. VICTOR M. MWAURAH
  • NPI Number: 1629791934
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2274079
LAB Type Home Health Agency
Facility Name PREMIER SERVICES AT HOME LLC
Street 121 BRICK KILN ROAD #214
City CHELMSFORD
State MA
ZIP 01824
Phone 978 654-1701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Home Health Agency
Lab Director MR. VICTOR M. MWAURAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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