30D0086157 CLIA NUMBER - GRANITE VNA

Laboratory Demographics

  • CLIA Code: 30D0086157
  • Facility Name: GRANITE VNA
  • Facility Address: 30 PILLSBURY ST
    CONCORD, NH
    ZIP 03301
  • Facility Phone: 603 224-4093
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CYNTHIA BERGERON
  • NPI Number: 1164425583
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 30D0086157
LAB Type Home Health Agency
Facility Name GRANITE VNA
Street 30 PILLSBURY ST
City CONCORD
State NH
ZIP 03301
Phone 603 224-4093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Home Health Agency
Lab Director CYNTHIA BERGERON

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