30D0677602 CLIA NUMBER - PLEASANT VALLEY NURSING & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 30D0677602
  • Facility Name: PLEASANT VALLEY NURSING & REHAB CENTER
  • Facility Address: 8 PEABODY RD
    DERRY, NH
    ZIP 03038
  • Facility Phone: 603 434-1566
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA SHAW
  • NPI Number: 1972932655
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D0677602
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLEASANT VALLEY NURSING & REHAB CENTER
Street 8 PEABODY RD
City DERRY
State NH
ZIP 03038
Phone 603 434-1566
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 SARA SHAW

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