30D0945152 CLIA NUMBER - ROCKINGHAM FAMILY HEALTHCARE COLLABORA

Laboratory Demographics

CLIA Number: 30D0945152

Facility Name: ROCKINGHAM FAMILY HEALTHCARE COLLABORA

Facility Address:
58 ISLAND POND ROAD
ATKINSON, NH
ZIP 03811
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Facility Phone Number: 603 382-1981

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689860306

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	30D0945152
LAB Type	Physician Office
Facility Name	ROCKINGHAM FAMILY HEALTHCARE COLLABORA
Street	58 ISLAND POND ROAD
City	ATKINSON
State	NH
ZIP	03811
Phone	603 382-1981
CertificateType	4
CertificateEffectiveDate	4/27/2024
CertificateExpirationDate	4/26/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024