22D0861394 CLIA NUMBER - MI NURSING & RESTORATIVE CENTER INC

Laboratory Demographics

  • CLIA Code: 22D0861394
  • Facility Name: MI NURSING & RESTORATIVE CENTER INC
  • Facility Address: 172 LAWRENCE STREET
    LAWRENCE, MA
    ZIP 01841
  • Facility Phone: 508 685-6321
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MYLVYN HECTHT
  • NPI Number: 1033104856
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0861394
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MI NURSING & RESTORATIVE CENTER INC
Street 172 LAWRENCE STREET
City LAWRENCE
State MA
ZIP 01841
Phone 508 685-6321
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 MYLVYN HECTHT

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