30D0965641 CLIA NUMBER - PREMISE HEALTH OF NEW HAMPSHIRE MEDICAL PC

Laboratory Demographics

CLIA Number: 30D0965641

Facility Name: PREMISE HEALTH OF NEW HAMPSHIRE MEDICAL PC

Facility Address:
65 SPITBROOK RD, NHQ02-1101
NASHUA, NH
ZIP 03061
Get Directions

Facility Phone Number: 603 885-3360

Facility Type: Industrial

Certificate Type: Waiver

NPI Number: 1518558964

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	30D0965641
LAB Type	Industrial
Facility Name	PREMISE HEALTH OF NEW HAMPSHIRE MEDICAL PC
Street	65 SPITBROOK RD, NHQ02-1101
City	NASHUA
State	NH
ZIP	03061
Phone	603 885-3360
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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