30D0084884 CLIA NUMBER - MERRIMAC MEDICAL INVESTORS, LLC DBA FAIRVIEW NURSING HOME

Laboratory Demographics

  • CLIA Code: 30D0084884
  • Facility Name: MERRIMAC MEDICAL INVESTORS, LLC DBA FAIRVIEW NURSING HOME
  • Facility Address: 203 LOWELL RD
    HUDSON, NH
    ZIP 03051
  • Facility Phone: 603 882-5261
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHAN H. PAZULSKI
  • NPI Number: 1629292727
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D0084884
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MERRIMAC MEDICAL INVESTORS, LLC DBA FAIRVIEW NURSING HOME
Street 203 LOWELL RD
City HUDSON
State NH
ZIP 03051
Phone 603 882-5261
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 STEPHAN H. PAZULSKI

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