22D0650190 CLIA NUMBER - THOMAS UPHAM HOUSE

Laboratory Demographics

  • CLIA Code: 22D0650190
  • Facility Name: THOMAS UPHAM HOUSE
  • Facility Address: 519 MAIN ST
    MEDFIELD, MA
    ZIP 02052
  • Facility Phone: (508) 359-6050
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EILEEN ROBERTS RN
  • NPI Number: 1710048525
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0650190
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THOMAS UPHAM HOUSE
Street 519 MAIN ST
City MEDFIELD
State MA
ZIP 02052
Phone 5083596050
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 EILEEN ROBERTS RN

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This page was last updated on: 5/18/2026