22D1074526 CLIA NUMBER - HANOVER HOSPICE

Laboratory Demographics

  • CLIA Code: 22D1074526
  • Facility Name: HANOVER HOSPICE
  • Facility Address: 10 NORTH MAIN STREET 1ST FLOOR
    FALL RIVER, MA
    ZIP 02720
  • Facility Phone: 508 675-7583
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VIVIAN P. DEMERS
  • NPI Number: 1508052465
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 22D1074526
LAB Type Hospice
Facility Name HANOVER HOSPICE
Street 10 NORTH MAIN STREET 1ST FLOOR
City FALL RIVER
State MA
ZIP 02720
Phone 508 675-7583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Hospice
Lab Director VIVIAN P. DEMERS

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