22D0857418 CLIA NUMBER - BEAR MT ANDOVER LLC

Laboratory Demographics

  • CLIA Code: 22D0857418
  • Facility Name: BEAR MT ANDOVER LLC
  • Facility Address: 80 ANDOVER ST
    ANDOVER, MA
    ZIP 01810
  • Facility Phone: 978 470-3434
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JANARTHANAN SOMESWARANANTHAN
  • NPI Number: 1700346459
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 22D0857418
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAR MT ANDOVER LLC
Street 80 ANDOVER ST
City ANDOVER
State MA
ZIP 01810
Phone 978 470-3434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JANARTHANAN SOMESWARANANTHAN

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