30D0954161 CLIA NUMBER - CORE FAMILY & INTERNAL MEDICINE OF EXETER

Laboratory Demographics

  • CLIA Code: 30D0954161
  • Facility Name: CORE FAMILY & INTERNAL MEDICINE OF EXETER
  • Facility Address: 21 HAMPTON ROAD, BLDG 3
    EXETER, NH
    ZIP 03833
  • Facility Phone: 603 775-0000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL PANGAN
  • NPI Number: 1043646854
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 30D0954161
LAB Type Physician Office
Facility Name CORE FAMILY & INTERNAL MEDICINE OF EXETER
Street 21 HAMPTON ROAD, BLDG 3
City EXETER
State NH
ZIP 03833
Phone 603 775-0000
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 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director MICHAEL PANGAN

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This page was last updated on: 6/4/2025