22D0720703 CLIA NUMBER - CRYSTAL REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 22D0720703
  • Facility Name: CRYSTAL REHABILITATION AND NURSING
  • Facility Address: 11 PONTIAC AVENUE
    WEBSTER, MA
    ZIP 01570
  • Facility Phone: 508 943-3889
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PETER DAIN
  • NPI Number: 1023535929
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0720703
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRYSTAL REHABILITATION AND NURSING
Street 11 PONTIAC AVENUE
City WEBSTER
State MA
ZIP 01570
Phone 508 943-3889
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 PETER DAIN

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