30D1022402 CLIA NUMBER - WHEELOCK TERRACE

Laboratory Demographics

  • CLIA Code: 30D1022402
  • Facility Name: WHEELOCK TERRACE
  • Facility Address: 32 BUCK RD
    HANOVER, NH
    ZIP 03755
  • Facility Phone: 603 643-7290
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTIE DAIGNEAULT
  • NPI Number: 1003029901
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D1022402
LAB Type Assisted Living Facility
Facility Name WHEELOCK TERRACE
Street 32 BUCK RD
City HANOVER
State NH
ZIP 03755
Phone 603 643-7290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Assisted Living Facility
Lab Director KRISTIE DAIGNEAULT

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