30D1005036 CLIA NUMBER - GRANITE LEDGES OF CONCORD

Laboratory Demographics

  • CLIA Code: 30D1005036
  • Facility Name: GRANITE LEDGES OF CONCORD
  • Facility Address: 151 LANGLEY PKWY
    CONCORD, NH
    ZIP 03301
  • Facility Phone: 603 224-0777
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SANDRA NICHOLS
  • NPI Number: 1225085434
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D1005036
LAB Type Other
Facility Name GRANITE LEDGES OF CONCORD
Street 151 LANGLEY PKWY
City CONCORD
State NH
ZIP 03301
Phone 603 224-0777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Other
Lab Director SANDRA NICHOLS

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