30D1032216 CLIA NUMBER - MARY HITCHCOCK MEMORIAL HOSPITAL DBA MHMH REGIONAL SERVICES

Laboratory Demographics

  • CLIA Code: 30D1032216
  • Facility Name: MARY HITCHCOCK MEMORIAL HOSPITAL DBA MHMH REGIONAL SERVICES
  • Facility Address: 5 WASHINGTON PLACE
    BEDFORD, NH
    ZIP 03110
  • Facility Phone: 603 695-2500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CELILIA L. CLEMANS
  • NPI Number: 1891859419
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D1032216
LAB Type Physician Office
Facility Name MARY HITCHCOCK MEMORIAL HOSPITAL DBA MHMH REGIONAL SERVICES
Street 5 WASHINGTON PLACE
City BEDFORD
State NH
ZIP 03110
Phone 603 695-2500
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 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director CELILIA L. CLEMANS

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