30D0086654 CLIA NUMBER - BEAR MT HANOVER, LLC

Laboratory Demographics

  • CLIA Code: 30D0086654
  • Facility Name: BEAR MT HANOVER, LLC
  • Facility Address: 49 LYME RD
    HANOVER, NH
    ZIP 03755
  • Facility Phone: 603 643-2854
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KINAL PATEL
  • NPI Number: 1114345535
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D0086654
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAR MT HANOVER, LLC
Street 49 LYME RD
City HANOVER
State NH
ZIP 03755
Phone 603 643-2854
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 KINAL PATEL

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