22D0072230 CLIA NUMBER - BLAIRE HOUSE OF TEWKSBURY

Laboratory Demographics

  • CLIA Code: 22D0072230
  • Facility Name: BLAIRE HOUSE OF TEWKSBURY
  • Facility Address: 10 ERLIN TERRACE
    TEWKSBURY, MA
    ZIP 01876
  • Facility Phone: 978 851-3121
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOUIS BRESNICK
  • NPI Number: 1881669273
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0072230
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLAIRE HOUSE OF TEWKSBURY
Street 10 ERLIN TERRACE
City TEWKSBURY
State MA
ZIP 01876
Phone 978 851-3121
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 LOUIS BRESNICK

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