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30D0869509 CLIA NUMBER - ANDROSCOGGIN VALLEY HOSPITAL NURSING

Laboratory Demographics

CLIA Number: 30D0869509

Facility Name: ANDROSCOGGIN VALLEY HOSPITAL NURSING

Facility Address:
59 PAGE HILL RD
BERLIN, NH
ZIP 03570
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Facility Phone Number: 603 752-2200

Facility Type: Hospital

Certificate Type: Waiver
NPI Number: 1225175763

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 30D0869509
LAB Type Hospital
Facility Name ANDROSCOGGIN VALLEY HOSPITAL NURSING
Street 59 PAGE HILL RD
City BERLIN
State NH
ZIP 03570
Phone 603 752-2200
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024