22D0650443 CLIA NUMBER - HATHAWAY MANOR EXTENDED CARE FACILITY

Laboratory Demographics

  • CLIA Code: 22D0650443
  • Facility Name: HATHAWAY MANOR EXTENDED CARE FACILITY
  • Facility Address: 863 HATHAWAY RD
    NEW BEDFORD, MA
    ZIP 02740
  • Facility Phone: 508 996-6763
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JASON M. PLANTE
  • NPI Number: 1700909249
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0650443
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HATHAWAY MANOR EXTENDED CARE FACILITY
Street 863 HATHAWAY RD
City NEW BEDFORD
State MA
ZIP 02740
Phone 508 996-6763
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 JASON M. PLANTE

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