22D2138783 CLIA NUMBER - BRAINTREE MANOR HEALTHCARE

Laboratory Demographics

  • CLIA Code: 22D2138783
  • Facility Name: BRAINTREE MANOR HEALTHCARE
  • Facility Address: 1102 WASHINGTON ST
    BRAINTREE, MA
    ZIP 02184
  • Facility Phone: 781 848-3100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHAWN HALLISEY
  • NPI Number: 1902322092
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2138783
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRAINTREE MANOR HEALTHCARE
Street 1102 WASHINGTON ST
City BRAINTREE
State MA
ZIP 02184
Phone 781 848-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHAWN HALLISEY

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