22D0649938 CLIA NUMBER - AGAWAM EAST REHAB AND NURSING LLC

Laboratory Demographics

  • CLIA Code: 22D0649938
  • Facility Name: AGAWAM EAST REHAB AND NURSING LLC
  • Facility Address: 464 MAIN ST
    AGAWAM, MA
    ZIP 01001
  • Facility Phone: 845 414-3300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHAIM MILLMAN
  • NPI Number: 1508048323
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0649938
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AGAWAM EAST REHAB AND NURSING LLC
Street 464 MAIN ST
City AGAWAM
State MA
ZIP 01001
Phone 845 414-3300
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 CHAIM MILLMAN

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