30D0716475 CLIA NUMBER - SULLIVAN COUNTY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 30D0716475
  • Facility Name: SULLIVAN COUNTY HEALTH CARE
  • Facility Address: 5 NURSING HOME DR
    UNITY, NH
    ZIP 03743
  • Facility Phone: 603 542-9511
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TED J. PURDY
  • NPI Number: 1689668212
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D0716475
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SULLIVAN COUNTY HEALTH CARE
Street 5 NURSING HOME DR
City UNITY
State NH
ZIP 03743
Phone 603 542-9511
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 TED J. PURDY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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