22D0881864 CLIA NUMBER - PHILLIPS MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 22D0881864
  • Facility Name: PHILLIPS MANOR NURSING HOME
  • Facility Address: 28 LINWOOD ROAD
    LYNN, MA
    ZIP 01905
  • Facility Phone: 781 592-8000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GAIL WORTH
  • NPI Number: 1720074594
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0881864
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PHILLIPS MANOR NURSING HOME
Street 28 LINWOOD ROAD
City LYNN
State MA
ZIP 01905
Phone 781 592-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GAIL WORTH

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