22D0930267 CLIA NUMBER - LIFE CARE CENTER OF STONEHAM

Laboratory Demographics

  • CLIA Code: 22D0930267
  • Facility Name: LIFE CARE CENTER OF STONEHAM
  • Facility Address: 25 WOODLAND ROAD
    STONEHAM, MA
    ZIP 02180
  • Facility Phone: 781 662-2545
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAYA BERDZENISHVILI
  • NPI Number: 1013978444
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0930267
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF STONEHAM
Street 25 WOODLAND ROAD
City STONEHAM
State MA
ZIP 02180
Phone 781 662-2545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MAYA BERDZENISHVILI

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