30D1081155 CLIA NUMBER - PMC MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 30D1081155
  • Facility Name: PMC MEDICAL GROUP, LLC
  • Facility Address: 1 MOUND COURT
    MERRIMACK, NH
    ZIP 03054
  • Facility Phone: 603 424-8866
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD P. DOHERTY JR
  • NPI Number: 1396121240
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D1081155
LAB Type Physician Office
Facility Name PMC MEDICAL GROUP, LLC
Street 1 MOUND COURT
City MERRIMACK
State NH
ZIP 03054
Phone 603 424-8866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director EDWARD P. DOHERTY JR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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