07D0672488 CLIA NUMBER - BRIDE BROOK REHABILITATION AND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 07D0672488
  • Facility Name: BRIDE BROOK REHABILITATION AND NURSING CENTER
  • Facility Address: 23 LIBERTY WAY
    NIANTIC, CT
    ZIP 06357
  • Facility Phone: 860 739-4007
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ABEL A. DONKA
  • NPI Number: 1073634176
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0672488
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIDE BROOK REHABILITATION AND NURSING CENTER
Street 23 LIBERTY WAY
City NIANTIC
State CT
ZIP 06357
Phone 860 739-4007
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 ABEL A. DONKA

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