22D0070033 CLIA NUMBER - WEST SIDE HOUSE

Laboratory Demographics

  • CLIA Code: 22D0070033
  • Facility Name: WEST SIDE HOUSE
  • Facility Address: 35 FRUIT ST
    WORCESTER, MA
    ZIP 01609
  • Facility Phone: 508 752-6763
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: IRA M. SCHOENBERGER
  • NPI Number: 1013984871
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0070033
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEST SIDE HOUSE
Street 35 FRUIT ST
City WORCESTER
State MA
ZIP 01609
Phone 508 752-6763
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 IRA M. SCHOENBERGER

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