22D0865363 CLIA NUMBER - LYDIA TAFT HOUSE

Laboratory Demographics

  • CLIA Code: 22D0865363
  • Facility Name: LYDIA TAFT HOUSE
  • Facility Address: 60 QUAKER HIGHWAY ROUTE 146A
    UXBRIDGE, MA
    ZIP 01569
  • Facility Phone: 508 278-9500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KAYLA ICAZA
  • NPI Number: 1982765533
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0865363
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LYDIA TAFT HOUSE
Street 60 QUAKER HIGHWAY ROUTE 146A
City UXBRIDGE
State MA
ZIP 01569
Phone 508 278-9500
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 KAYLA ICAZA

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