30D0864947 CLIA NUMBER - AMOSKEAG HEALTH

Laboratory Demographics

  • CLIA Code: 30D0864947
  • Facility Name: AMOSKEAG HEALTH
  • Facility Address: 145 HOLLIS ST
    MANCHESTER, NH
    ZIP 03101
  • Facility Phone: 603 935-5264
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: GAVIN MUIR
  • NPI Number: 1083617013
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D0864947
LAB Type Community Clinic
Facility Name AMOSKEAG HEALTH
Street 145 HOLLIS ST
City MANCHESTER
State NH
ZIP 03101
Phone 603 935-5264
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director GAVIN MUIR

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