30D0983146 CLIA NUMBER - CONCORD EYE SURGERY LLC MEMORIAL MEDICAL OFFICE BLDG #105-B

Laboratory Demographics

  • CLIA Code: 30D0983146
  • Facility Name: CONCORD EYE SURGERY LLC MEMORIAL MEDICAL OFFICE BLDG #105-B
  • Facility Address: 246 PLEASANT STREET
    CONCORD, NH
    ZIP 03301
  • Facility Phone: 603 224-5403
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER WASSERMAN MD
  • NPI Number: 1437138500
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D0983146
LAB Type Ambulatory Surgery Center
Facility Name CONCORD EYE SURGERY LLC MEMORIAL MEDICAL OFFICE BLDG #105-B
Street 246 PLEASANT STREET
City CONCORD
State NH
ZIP 03301
Phone 603 224-5403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Ambulatory Surgery Center
Lab Director PETER WASSERMAN MD

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