22D2314853 CLIA NUMBER - WINTERGREEN SERVICES LLC

Laboratory Demographics

  • CLIA Code: 22D2314853
  • Facility Name: WINTERGREEN SERVICES LLC
  • Facility Address: 10 BRIDGE ST #7
    LOWELL, MA
    ZIP 01852
  • Facility Phone: 978 427-4005
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOB GICHURU
  • NPI Number: 1487338059
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2314853
LAB Type Home Health Agency
Facility Name WINTERGREEN SERVICES LLC
Street 10 BRIDGE ST #7
City LOWELL
State MA
ZIP 01852
Phone 978 427-4005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Home Health Agency
Lab Director JOB GICHURU

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