30D0084807 CLIA NUMBER - DERRY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 30D0084807
  • Facility Name: DERRY PEDIATRICS
  • Facility Address: 43 B BIRCH ST
    DERRY, NH
    ZIP 03038
  • Facility Phone: 603 434-0327
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY T. DELLA GROTTA
  • NPI Number: 1174603849
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 30D0084807
LAB Type Physician Office
Facility Name DERRY PEDIATRICS
Street 43 B BIRCH ST
City DERRY
State NH
ZIP 03038
Phone 603 434-0327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director GARY T. DELLA GROTTA

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