30D0086506 CLIA NUMBER - ANDROSCOGGIN VALLEY HOSP LABORATORY

Laboratory Demographics

CLIA Number: 30D0086506

Facility Name: ANDROSCOGGIN VALLEY HOSP LABORATORY

Facility Address:
59 PAGE HILL RD
BERLIN, NH
ZIP 03570
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Facility Phone Number: 603 326-5757

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1235267451

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	30D0086506
LAB Type	Hospital
Facility Name	ANDROSCOGGIN VALLEY HOSP LABORATORY
Street	59 PAGE HILL RD
City	BERLIN
State	NH
ZIP	03570
Phone	603 326-5757
CertificateType	2
CertificateEffectiveDate	2/20/2024
CertificateExpirationDate	2/19/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024