22D0650024 CLIA NUMBER - GRANGERS NURSING HOME INC/COLEMAN HOUS

Laboratory Demographics

  • CLIA Code: 22D0650024
  • Facility Name: GRANGERS NURSING HOME INC/COLEMAN HOUS
  • Facility Address: 112 WEST MAIN STREET
    NORTHBOROUGH, MA
    ZIP 01532
  • Facility Phone: 508 393-2382
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES P. WALSH
  • NPI Number: 1548250723
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0650024
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRANGERS NURSING HOME INC/COLEMAN HOUS
Street 112 WEST MAIN STREET
City NORTHBOROUGH
State MA
ZIP 01532
Phone 508 393-2382
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 JAMES P. WALSH

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