30D2268101 CLIA NUMBER - BETHANY HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 30D2268101
  • Facility Name: BETHANY HEALTH SERVICES, LLC
  • Facility Address: 23 STILES RD, STE 210
    SALEM, NH
    ZIP 03079
  • Facility Phone: 603 601-4766
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VANNESSA M. DAVIS
  • NPI Number: 1780208686
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D2268101
LAB Type Practitioner Other
Facility Name BETHANY HEALTH SERVICES, LLC
Street 23 STILES RD, STE 210
City SALEM
State NH
ZIP 03079
Phone 603 601-4766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Practitioner Other
Lab Director VANNESSA M. DAVIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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