07D0868695 CLIA NUMBER - VILLAGE GREEN REHABILITATION & HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 07D0868695
  • Facility Name: VILLAGE GREEN REHABILITATION & HEALTHCARE CENTER
  • Facility Address: 23 FAIR STREET
    BRISTOL, CT
    ZIP 06010
  • Facility Phone: 860 589-2923
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BENJAMIN YEBOAH
  • NPI Number: 1912382185
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0868695
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLAGE GREEN REHABILITATION & HEALTHCARE CENTER
Street 23 FAIR STREET
City BRISTOL
State CT
ZIP 06010
Phone 860 589-2923
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 BENJAMIN YEBOAH

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