30D1076490 CLIA NUMBER - LITTLETON INTERNAL MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 30D1076490
  • Facility Name: LITTLETON INTERNAL MEDICINE, PC
  • Facility Address: 580 ST JOHNSBURY ROAD, SUITE F
    LITTLETON, NH
    ZIP 03561
  • Facility Phone: 603 444-2002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN A. SILVA MD
  • NPI Number: 1609056118
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D1076490
LAB Type Physician Office
Facility Name LITTLETON INTERNAL MEDICINE, PC
Street 580 ST JOHNSBURY ROAD, SUITE F
City LITTLETON
State NH
ZIP 03561
Phone 603 444-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director KEVIN A. SILVA MD

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