30D0087399 CLIA NUMBER - MAINEHEALTH PRIMCRFIMPEDS NORTH CONWAY

Laboratory Demographics

  • CLIA Code: 30D0087399
  • Facility Name: MAINEHEALTH PRIMCRFIMPEDS NORTH CONWAY
  • Facility Address: 3073 WHITE MOUNTAIN HWY
    NORTH CONWAY, NH
    ZIP 03860
  • Facility Phone: 207 779-2271
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ANGUS BADGER
  • NPI Number: 1992000103
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D0087399
LAB Type Rural Health Clinic
Facility Name MAINEHEALTH PRIMCRFIMPEDS NORTH CONWAY
Street 3073 WHITE MOUNTAIN HWY
City NORTH CONWAY
State NH
ZIP 03860
Phone 207 779-2271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Rural Health Clinic
Lab Director ANGUS BADGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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