30D0878544 CLIA NUMBER - NEW CREATION HEALING CENTER

Laboratory Demographics

  • CLIA Code: 30D0878544
  • Facility Name: NEW CREATION HEALING CENTER
  • Facility Address: 80 ROUTE 125
    KINGSTON, NH
    ZIP 03848
  • Facility Phone: 603 642-6700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARY G. PEARSON
  • NPI Number: 1477569234
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D0878544
LAB Type Physician Office
Facility Name NEW CREATION HEALING CENTER
Street 80 ROUTE 125
City KINGSTON
State NH
ZIP 03848
Phone 603 642-6700
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 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director MARY G. PEARSON

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