30D1029577 CLIA NUMBER - BROOKDALE SPRUCE WOOD

Laboratory Demographics

CLIA Number: 30D1029577

Facility Name: BROOKDALE SPRUCE WOOD

Facility Address:
25 WORTHEN ROAD
DURHAM, NH
ZIP 03824
Get Directions

Facility Phone Number: 603 659-1100

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1588948707

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	30D1029577
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE SPRUCE WOOD
Street	25 WORTHEN ROAD
City	DURHAM
State	NH
ZIP	03824
Phone	603 659-1100
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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