22D0878263 CLIA NUMBER - SIPPICAN REHABILITATION AND HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 22D0878263
  • Facility Name: SIPPICAN REHABILITATION AND HEALTHCARE CENTER
  • Facility Address: 15 MILL ST
    MARION, MA
    ZIP 02738
  • Facility Phone: 508 748-3830
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JORDAN GULAREK
  • NPI Number: 1417989013
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0878263
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SIPPICAN REHABILITATION AND HEALTHCARE CENTER
Street 15 MILL ST
City MARION
State MA
ZIP 02738
Phone 508 748-3830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JORDAN GULAREK

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