30D1006856 CLIA NUMBER - COLONIAL FOX DEN

Laboratory Demographics

  • CLIA Code: 30D1006856
  • Facility Name: COLONIAL FOX DEN
  • Facility Address: 208 NORTH RD
    SANDOWN, NH
    ZIP 03873
  • Facility Phone: 603 887-6333
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARK QUEIROS
  • NPI Number: 1730578741
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D1006856
LAB Type Assisted Living Facility
Facility Name COLONIAL FOX DEN
Street 208 NORTH RD
City SANDOWN
State NH
ZIP 03873
Phone 603 887-6333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Assisted Living Facility
Lab Director MARK QUEIROS

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