30D0857991 CLIA NUMBER - SOUTHWESTERN COMMUNITY SERVICES WIC

Laboratory Demographics

  • CLIA Code: 30D0857991
  • Facility Name: SOUTHWESTERN COMMUNITY SERVICES WIC
  • Facility Address: 63 COMMUNITY WAY
    KEENE, NH
    ZIP 03431
  • Facility Phone: 603 352-7512
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KAREN WILBER
  • NPI Number: 1962611418
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D0857991
LAB Type Community Clinic
Facility Name SOUTHWESTERN COMMUNITY SERVICES WIC
Street 63 COMMUNITY WAY
City KEENE
State NH
ZIP 03431
Phone 603 352-7512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director KAREN WILBER

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