07D0878303 CLIA NUMBER - WESTSIDE CARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 07D0878303
  • Facility Name: WESTSIDE CARE CENTER, LLC
  • Facility Address: 349 BIDWELL STREET
    MANCHESTER, CT
    ZIP 06040
  • Facility Phone: 860 647-9191
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DONNA GRANT RN DNS
  • NPI Number: 1568520963
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0878303
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESTSIDE CARE CENTER, LLC
Street 349 BIDWELL STREET
City MANCHESTER
State CT
ZIP 06040
Phone 860 647-9191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DONNA GRANT RN DNS

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