30D0936293 CLIA NUMBER - JAFFREY-RINDGE MEMORIAL AMBULANCE

Laboratory Demographics

  • CLIA Code: 30D0936293
  • Facility Name: JAFFREY-RINDGE MEMORIAL AMBULANCE
  • Facility Address: 119 MAIN ST
    JAFFREY, NH
    ZIP 03452
  • Facility Phone: 603 532-6868
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ELYSIA DEVENS
  • NPI Number: 1619465853
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 30D0936293
LAB Type Ambulance
Facility Name JAFFREY-RINDGE MEMORIAL AMBULANCE
Street 119 MAIN ST
City JAFFREY
State NH
ZIP 03452
Phone 603 532-6868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Ambulance
Lab Director ELYSIA DEVENS

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