30D0085615 CLIA NUMBER - NORTH END INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 30D0085615
  • Facility Name: NORTH END INTERNAL MEDICINE
  • Facility Address: 1750 ELM ST, STE 201A BRADY SULLIVAN TOWER
    MANCHESTER, NH
    ZIP 03101
  • Facility Phone: 603 668-6489
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN RICE
  • NPI Number: 1265073563
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D0085615
LAB Type Physician Office
Facility Name NORTH END INTERNAL MEDICINE
Street 1750 ELM ST, STE 201A BRADY SULLIVAN TOWER
City MANCHESTER
State NH
ZIP 03101
Phone 603 668-6489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director JOHN RICE

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