22D0069452 CLIA NUMBER - FAIRHAVENS DBA QUABOAG REHABILITATION AND SKILLED CARE CENTER

Laboratory Demographics

  • CLIA Code: 22D0069452
  • Facility Name: FAIRHAVENS DBA QUABOAG REHABILITATION AND SKILLED CARE CENTER
  • Facility Address: 47 EAST MAIN STREET
    WEST BROOKFIELD, MA
    ZIP 01585
  • Facility Phone: 508 867-7716
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LORI WEBB
  • NPI Number: 1003205667
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0069452
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAIRHAVENS DBA QUABOAG REHABILITATION AND SKILLED CARE CENTER
Street 47 EAST MAIN STREET
City WEST BROOKFIELD
State MA
ZIP 01585
Phone 508 867-7716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LORI WEBB

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