22D0720585 CLIA NUMBER - MADONNA MANOR INC

Laboratory Demographics

  • CLIA Code: 22D0720585
  • Facility Name: MADONNA MANOR INC
  • Facility Address: 85 NORTH WASHINGTON STREET
    NORTH ATTLEBORO, MA
    ZIP 02760
  • Facility Phone: 508 699-2740
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KURT WHEATON
  • NPI Number: 1568457380
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0720585
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MADONNA MANOR INC
Street 85 NORTH WASHINGTON STREET
City NORTH ATTLEBORO
State MA
ZIP 02760
Phone 508 699-2740
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 KURT WHEATON

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