30D0087505 CLIA NUMBER - ROCHESTER MANOR

Laboratory Demographics

  • CLIA Code: 30D0087505
  • Facility Name: ROCHESTER MANOR
  • Facility Address: 40 WHITEHALL RD
    ROCHESTER, NH
    ZIP 03867
  • Facility Phone: 603 332-7711
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHLEEN MCCRACKEN
  • NPI Number: 1508232414
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D0087505
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROCHESTER MANOR
Street 40 WHITEHALL RD
City ROCHESTER
State NH
ZIP 03867
Phone 603 332-7711
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 KATHLEEN MCCRACKEN

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