22D0069580 CLIA NUMBER - BLAIRE HOUSE OF WORCESTER

Laboratory Demographics

  • CLIA Code: 22D0069580
  • Facility Name: BLAIRE HOUSE OF WORCESTER
  • Facility Address: 116 HOUGHTON STREET
    WORCESTER, MA
    ZIP 01604
  • Facility Phone: (508) 791-5543
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RITA SEMAAN
  • NPI Number: 1669447959
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0069580
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLAIRE HOUSE OF WORCESTER
Street 116 HOUGHTON STREET
City WORCESTER
State MA
ZIP 01604
Phone 5087915543
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 RITA SEMAAN

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This page was last updated on: 5/18/2026