07D0665949 CLIA NUMBER - WADSWORTH GLEN HEALTH CARE & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 07D0665949
  • Facility Name: WADSWORTH GLEN HEALTH CARE & REHAB CENTER
  • Facility Address: 30 BOSTON ROAD
    MIDDLETOWN, CT
    ZIP 06457
  • Facility Phone: 860 346-9299
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EDGAR NAUT
  • NPI Number: 1730137993
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0665949
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WADSWORTH GLEN HEALTH CARE & REHAB CENTER
Street 30 BOSTON ROAD
City MIDDLETOWN
State CT
ZIP 06457
Phone 860 346-9299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EDGAR NAUT

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