30D1086109 CLIA NUMBER - ELLIOT ENDOCRINOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 30D1086109
  • Facility Name: ELLIOT ENDOCRINOLOGY ASSOCIATES
  • Facility Address: 25 LEAVY DR, 2ND FL
    BEDFORD, NH
    ZIP 03110
  • Facility Phone: 603 663-3740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NNEKA IROKA
  • NPI Number: 1558538470
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D1086109
LAB Type Physician Office
Facility Name ELLIOT ENDOCRINOLOGY ASSOCIATES
Street 25 LEAVY DR, 2ND FL
City BEDFORD
State NH
ZIP 03110
Phone 603 663-3740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director NNEKA IROKA

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