30D1039262 CLIA NUMBER - CONCORD HOSPITAL FAMILY HEALTH CENTER - CONCORD

Laboratory Demographics

CLIA Number: 30D1039262

Facility Name: CONCORD HOSPITAL FAMILY HEALTH CENTER - CONCORD

Facility Address:
250 PLEASANT ST YEAPLE BUILDING-FAMILY HEALTH CENTER
CONCORD, NH
ZIP 03301
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Facility Phone Number: 603 228-7200

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1134386790

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	30D1039262
LAB Type	Physician Office
Facility Name	CONCORD HOSPITAL FAMILY HEALTH CENTER - CONCORD
Street	250 PLEASANT ST YEAPLE BUILDING-FAMILY HEALTH CENTER
City	CONCORD
State	NH
ZIP	03301
Phone	603 228-7200
CertificateType	3
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024