30D0982295 CLIA NUMBER - WHOLE LIFE HEALTH CARE PA

Laboratory Demographics

CLIA Number: 30D0982295

Facility Name: WHOLE LIFE HEALTH CARE PA

Facility Address:
100 SHATTUCK WAY, SUITE 100
NEWINGTON, NH
ZIP 03801
Get Directions

Facility Phone Number: 603 431-6677

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1770646614

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	30D0982295
LAB Type	Physician Office
Facility Name	WHOLE LIFE HEALTH CARE PA
Street	100 SHATTUCK WAY, SUITE 100
City	NEWINGTON
State	NH
ZIP	03801
Phone	603 431-6677
CertificateType	3
CertificateEffectiveDate	5/29/2023
CertificateExpirationDate	5/28/2025
FacilityType	PPMP

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