22D2278629 CLIA NUMBER - CRESCENT MANOR ASSISTED CARE, LLC

Laboratory Demographics

  • CLIA Code: 22D2278629
  • Facility Name: CRESCENT MANOR ASSISTED CARE, LLC
  • Facility Address: 5 CRESCENT ST
    GRAFTON, MA
    ZIP 01519
  • Facility Phone: 508 847-5662
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. DONNA GEBO
  • NPI Number: 1871587576
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D2278629
LAB Type Assisted Living Facility
Facility Name CRESCENT MANOR ASSISTED CARE, LLC
Street 5 CRESCENT ST
City GRAFTON
State MA
ZIP 01519
Phone 508 847-5662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Assisted Living Facility
Lab Director MS. DONNA GEBO

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