30D1022405 CLIA NUMBER - ELLIOT POC LAB/COLLECTION STATION AT 145 HOLLIS ST

Laboratory Demographics

  • CLIA Code: 30D1022405
  • Facility Name: ELLIOT POC LAB/COLLECTION STATION AT 145 HOLLIS ST
  • Facility Address: 145 HOLLIS ST
    MANCHESTER, NH
    ZIP 03101
  • Facility Phone: 603 647-2927
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA MOREAU
  • NPI Number: 1245291350
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D1022405
LAB Type Community Clinic
Facility Name ELLIOT POC LAB/COLLECTION STATION AT 145 HOLLIS ST
Street 145 HOLLIS ST
City MANCHESTER
State NH
ZIP 03101
Phone 603 647-2927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Community Clinic
Lab Director ALEXANDRA MOREAU

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