30D1017791 CLIA NUMBER - KEENAN AL-HOJERRY MD PORTSMOUTH FAMILY CARE

Laboratory Demographics

  • CLIA Code: 30D1017791
  • Facility Name: KEENAN AL-HOJERRY MD PORTSMOUTH FAMILY CARE
  • Facility Address: 101 SHATTUCK WAY, STE 2
    NEWINGTON, NH
    ZIP 03801
  • Facility Phone: 603 433-8488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEENAN AL-HOJERRY MD
  • NPI Number: 1063468981
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D1017791
LAB Type Physician Office
Facility Name KEENAN AL-HOJERRY MD PORTSMOUTH FAMILY CARE
Street 101 SHATTUCK WAY, STE 2
City NEWINGTON
State NH
ZIP 03801
Phone 603 433-8488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Physician Office
Lab Director KEENAN AL-HOJERRY MD

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