30D0861325 CLIA NUMBER - KENDAL AT HANOVER

Laboratory Demographics

  • CLIA Code: 30D0861325
  • Facility Name: KENDAL AT HANOVER
  • Facility Address: 67 CUMMINGS RD
    HANOVER, NH
    ZIP 03755
  • Facility Phone: (603) 653-8505
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA M. WOOD
  • NPI Number: 1083756399
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D0861325
LAB Type Assisted Living Facility
Facility Name KENDAL AT HANOVER
Street 67 CUMMINGS RD
City HANOVER
State NH
ZIP 03755
Phone 6036538505
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 Assisted Living Facility
Lab Director REBECCA M. WOOD

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This page was last updated on: 5/15/2026