30D1012875 CLIA NUMBER - WHITE MOUNTAIN FAMILY HEALTHCARE LITTLE

Laboratory Demographics

  • CLIA Code: 30D1012875
  • Facility Name: WHITE MOUNTAIN FAMILY HEALTHCARE LITTLE
  • Facility Address: 580 ST JOHNSBURY RD, STE K
    LITTLETON, NH
    ZIP 03561
  • Facility Phone: 603 444-2010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA HAWKINS
  • NPI Number: 1992752604
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D1012875
LAB Type Physician Office
Facility Name WHITE MOUNTAIN FAMILY HEALTHCARE LITTLE
Street 580 ST JOHNSBURY RD, STE K
City LITTLETON
State NH
ZIP 03561
Phone 603 444-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director ANGELA HAWKINS

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