30D1107560 CLIA NUMBER - WOODCREST VILLAGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 30D1107560
  • Facility Name: WOODCREST VILLAGE ASSISTED LIVING
  • Facility Address: 356 MAIN STREET
    NEW LONDON, NH
    ZIP 03257
  • Facility Phone: 603 526-2300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JAMIE L. MCCONNELL
  • NPI Number: 1962771444
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D1107560
LAB Type Assisted Living Facility
Facility Name WOODCREST VILLAGE ASSISTED LIVING
Street 356 MAIN STREET
City NEW LONDON
State NH
ZIP 03257
Phone 603 526-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Assisted Living Facility
Lab Director JAMIE L. MCCONNELL

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