22D0069605 CLIA NUMBER - WORCESTER REHABILITATION AND HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 22D0069605
  • Facility Name: WORCESTER REHABILITATION AND HEALTH CARE CENTER
  • Facility Address: 119 PROVIDENCE ST
    WORCESTER, MA
    ZIP 01604
  • Facility Phone: 508 860-5000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMSON G. GIRMAY
  • NPI Number: 1437146503
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0069605
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WORCESTER REHABILITATION AND HEALTH CARE CENTER
Street 119 PROVIDENCE ST
City WORCESTER
State MA
ZIP 01604
Phone 508 860-5000
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 SAMSON G. GIRMAY

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