30D0086952 CLIA NUMBER - EDGEWOOD REHAB AND HEALTHCARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 30D0086952
  • Facility Name: EDGEWOOD REHAB AND HEALTHCARE CENTER LLC
  • Facility Address: 928 SOUTH ST
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 617 895-9122
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NELSON AWEH
  • NPI Number: 1447312046
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D0086952
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EDGEWOOD REHAB AND HEALTHCARE CENTER LLC
Street 928 SOUTH ST
City PORTSMOUTH
State NH
ZIP 03801
Phone 617 895-9122
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 NELSON AWEH

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