30D0928948 CLIA NUMBER - EASTERSEALS NH, INC

Laboratory Demographics

  • CLIA Code: 30D0928948
  • Facility Name: EASTERSEALS NH, INC
  • Facility Address: 555 AUBURN ST
    MANCHESTER, NH
    ZIP 03103
  • Facility Phone: 603 621-3563
  • Facility Type: Other - OCC HEALTH SVCS
  • Facility Type: Waiver
  • Lab Director: ROBERT TIMMONS
  • NPI Number: 1306155643
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 30D0928948
LAB Type Other - OCC HEALTH SVCS
Facility Name EASTERSEALS NH, INC
Street 555 AUBURN ST
City MANCHESTER
State NH
ZIP 03103
Phone 603 621-3563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Other - OCC HEALTH SVCS
Lab Director ROBERT TIMMONS

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