30D0913633 CLIA NUMBER - CHARLESTOWN HEALTH CENTER SPRINGFIELD MEDICAL CARE SYSTEMS

Laboratory Demographics

  • CLIA Code: 30D0913633
  • Facility Name: CHARLESTOWN HEALTH CENTER SPRINGFIELD MEDICAL CARE SYSTEMS
  • Facility Address: 250 CEDA RD
    CHARLESTOWN, NH
    ZIP 03603
  • Facility Phone: 603 826-5711
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DANIEL CALORAS
  • NPI Number: 1407828247
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D0913633
LAB Type Federally Qualified Health Center
Facility Name CHARLESTOWN HEALTH CENTER SPRINGFIELD MEDICAL CARE SYSTEMS
Street 250 CEDA RD
City CHARLESTOWN
State NH
ZIP 03603
Phone 603 826-5711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Federally Qualified Health Center
Lab Director DANIEL CALORAS

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