22D0072461 CLIA NUMBER - WINCHESTER NURSING HOME

Laboratory Demographics

  • CLIA Code: 22D0072461
  • Facility Name: WINCHESTER NURSING HOME
  • Facility Address: 223 SWANTON ST
    WINCHESTER, MA
    ZIP 01890
  • Facility Phone: 781 729-9595
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PHYLLIS SULLIVAN
  • NPI Number: 1619971215
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0072461
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WINCHESTER NURSING HOME
Street 223 SWANTON ST
City WINCHESTER
State MA
ZIP 01890
Phone 781 729-9595
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 PHYLLIS SULLIVAN

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