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| Acronym | Definition |
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| ACH | Automated Clearing House | | AcH | Alcohol | | ACH | Arkansas Children's Hospital (Little Rock, AR) | | ACH | Air Changes per Hour (ventilation) | | ACH | Acetylcholine | | ACH | Association for Computers and the Humanities | | ACH | Adult Care Home | | ACH | Achondroplasia | | ACH | All Children's Hospital (St. Petersburg, FL) | | ACH | Advanced Combat Helmet | | ACH | Acute Care Hospital (various locations) | | ACH | Access Channel | | ACH | Army Community Hospital | | ACH | Aircraft Hangar (USAF bare base deployable aircraft shelter) | | ACH | Angeles Crest Highway (California SR2) | | ACH | Armada de Chile (Spanish: Chilean Navy) | | ACH | Adrenal Cortical Hormone | | ACH | American College of Heraldry | | ACH | Automated Charge | | ACH | Attempts per Circuit per Hour | | ACH | Association Coopération Humanitaire (French: Humanitarian Cooperation Association; est. 1992) | | ACH | Agent Charge (freight forwarding) | | ACH | American Clearinghouse | | ACH | Above Counter Height (construction blueprints) | | ACH | Assault Craft Helmet (Gentex) | | ACH | Antenna Selection Reference Signal Channel | | ACH | Adler-Coppersmith-Hasner (algorithm) | | ACH | ACCS Common Hardware | | ACH | Average Call Handle (time; call center metric) | | ACH | Alpha-Cellulose Hydrolysis | | ACH | Auckland City Hospital (New Zealand) | | ACH | Anything Can Happen (various meanings) | | ACH | Academic Credit Hours | | ACH | Association of Children's Hospices (UK) |
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