30D0997262 CLIA NUMBER - APPLEDORE MEDICAL GROUP D/B/A PORTSMOUTH INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 30D0997262
  • Facility Name: APPLEDORE MEDICAL GROUP D/B/A PORTSMOUTH INTERNAL MEDICINE
  • Facility Address: 100 EILEEN DONDERO FOLEY AVE, STE 300
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 603 436-6115
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHENTON HARKER
  • NPI Number: 1720077167
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D0997262
LAB Type Physician Office
Facility Name APPLEDORE MEDICAL GROUP D/B/A PORTSMOUTH INTERNAL MEDICINE
Street 100 EILEEN DONDERO FOLEY AVE, STE 300
City PORTSMOUTH
State NH
ZIP 03801
Phone 603 436-6115
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 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director PHENTON HARKER

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