CLIA lab
CLIA 30D2273642: Penacook Assisted Living Facility, Inc
Penacook, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D2273642 belongs to Penacook Assisted Living Facility, Inc in Penacook, NH.
Certificate of Waiver, effective December 16, 2024, expires December 15, 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 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2022
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 30D2273642
- Lab name
- Penacook Assisted Living Facility, Inc
- Address
- 30 Borough, Penacook, NH 03303
- Phone
- (603) 753-9100
- Fax
- (603) 753-8459
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Penacook, NH
Related
Questions
What is the CLIA number for Penacook Assisted Living Facility, Inc in Penacook?
30D2273642, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penacook Assisted Living Facility, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D2273642 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.