22D0722893 CLIA NUMBER - LANESSA EXTENDED CARE FACILITY INC

Laboratory Demographics

  • CLIA Code: 22D0722893
  • Facility Name: LANESSA EXTENDED CARE FACILITY INC
  • Facility Address: 751 SCHOOL ST
    WEBSTER, MA
    ZIP 01570
  • Facility Phone: 508 949-1334
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ADEKUNLE FAJANA
  • NPI Number: 1184611261
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0722893
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LANESSA EXTENDED CARE FACILITY INC
Street 751 SCHOOL ST
City WEBSTER
State MA
ZIP 01570
Phone 508 949-1334
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 ADEKUNLE FAJANA

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