30D1007102 CLIA NUMBER - DR MONTANARELLA AND ASSOCIATES

Laboratory Demographics

  • CLIA Code: 30D1007102
  • Facility Name: DR MONTANARELLA AND ASSOCIATES
  • Facility Address: 30 CANTON ST STE 6
    MANCHESTER, NH
    ZIP 03103
  • Facility Phone: 603 624-1638
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARY JO MONTANARELLA
  • NPI Number: 1205948643
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D1007102
LAB Type Physician Office
Facility Name DR MONTANARELLA AND ASSOCIATES
Street 30 CANTON ST STE 6
City MANCHESTER
State NH
ZIP 03103
Phone 603 624-1638
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 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director MARY JO MONTANARELLA

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: 9/29/2025