22D2079679 CLIA NUMBER - SOUTHERN WORCESTER COUNTY REHABILITATION CENTER, I

Laboratory Demographics

  • CLIA Code: 22D2079679
  • Facility Name: SOUTHERN WORCESTER COUNTY REHABILITATION CENTER, I
  • Facility Address: 44 MORRIS ST
    WEBSTER, MA
    ZIP 01570
  • Facility Phone: 508 943-0700
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MR. JAMES T. AMICK
  • NPI Number: 1033251715
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 22D2079679
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SOUTHERN WORCESTER COUNTY REHABILITATION CENTER, I
Street 44 MORRIS ST
City WEBSTER
State MA
ZIP 01570
Phone 508 943-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MR. JAMES T. AMICK

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