30D0999732 CLIA NUMBER - APPLEDORE MEDICAL GROUP DBA BEACON INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 30D0999732
  • Facility Name: APPLEDORE MEDICAL GROUP DBA BEACON INTERNAL MEDICINE
  • Facility Address: 155 BORTHWICK AVE SUITE 202 WEST BUILDING
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: (603) 436-6638
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIEL DAVIES
  • NPI Number: 1013227594
  • Taxonomy: 133V00000X - Dietitian, Registered

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D0999732
LAB Type Hospice
Facility Name APPLEDORE MEDICAL GROUP DBA BEACON INTERNAL MEDICINE
Street 155 BORTHWICK AVE SUITE 202 WEST BUILDING
City PORTSMOUTH
State NH
ZIP 03801
Phone 6034366638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Hospice
Lab Director DANIEL DAVIES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026