30D2252638 CLIA NUMBER - SENIOR CLASS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 30D2252638
  • Facility Name: SENIOR CLASS HOME HEALTH
  • Facility Address: 201 STATE ROUTE 111
    HAMPSTEAD, NH
    ZIP 03841
  • Facility Phone: 240 506-6846
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VALERYA BALANNIK
  • NPI Number: 1780197376
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 30D2252638
LAB Type Home Health Agency
Facility Name SENIOR CLASS HOME HEALTH
Street 201 STATE ROUTE 111
City HAMPSTEAD
State NH
ZIP 03841
Phone 240 506-6846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Home Health Agency
Lab Director VALERYA BALANNIK

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