30D1069245 CLIA NUMBER - APPLEDORE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 30D1069245
  • Facility Name: APPLEDORE FAMILY MEDICINE
  • Facility Address: 25 NEW HAMPSHIRE AVE, STE 100
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 603 431-2516
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHENTON T. HARKER
  • NPI Number: 1104873421
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D1069245
LAB Type Physician Office
Facility Name APPLEDORE FAMILY MEDICINE
Street 25 NEW HAMPSHIRE AVE, STE 100
City PORTSMOUTH
State NH
ZIP 03801
Phone 603 431-2516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director PHENTON T. HARKER

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