30D1084234 CLIA NUMBER - IMMEDIATE CARE OF SOUTHERN NH

Laboratory Demographics

  • CLIA Code: 30D1084234
  • Facility Name: IMMEDIATE CARE OF SOUTHERN NH
  • Facility Address: 29 NORTHWEST BLVD
    NASHUA, NH
    ZIP 03063
  • Facility Phone: (603) 577-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DILIP YARABOTHU

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CLIA Record

Field Name Field Value
CLIA Number 30D1084234
LAB Type Physician Office
Facility Name IMMEDIATE CARE OF SOUTHERN NH
Street 29 NORTHWEST BLVD
City NASHUA
State NH
ZIP 03063
Phone 6035772273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2026
Certificate Expiration Date 1/15/2028
Facility Type Physician Office
Lab Director DILIP YARABOTHU

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This page was last updated on: 5/18/2026