CLIA lab

CLIA 30D2203601: Grace House of Windham

Windham, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 30D2203601 belongs to Grace House of Windham in Windham, NH.

Certificate of Waiver, effective December 4, 2024, expires December 3, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 4, 2024
Certificate expiration
December 3, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 2020
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
30D2203601
Lab name
Grace House of Windham
Address
23 Mammoth Rd, Windham, NH 03087
Phone
(603) 889-1800
Fax
(603) 943-5357

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Windham, NH

Related

Questions

What is the CLIA number for Grace House of Windham in Windham?

30D2203601, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grace House of Windham hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 30D2203601 expire?

The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.

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