30D0086167 CLIA NUMBER - CONCORD FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 30D0086167

Facility Name: CONCORD FAMILY MEDICINE

Facility Address:
18 FOUNDRY STREET, SUITE 201
CONCORD, NH
ZIP 03301
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Facility Phone Number: 603 228-0071

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1396101358

Taxonomy: 152WC0802X - Optometrist
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

CLIA Record

Field Name	Field Value
CLIA Number	30D0086167
LAB Type	Physician Office
Facility Name	CONCORD FAMILY MEDICINE
Street	18 FOUNDRY STREET, SUITE 201
City	CONCORD
State	NH
ZIP	03301
Phone	603 228-0071
CertificateType	3
CertificateEffectiveDate	12/20/2022
CertificateExpirationDate	12/19/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024