30D1087859 CLIA NUMBER - BEDFORD INTERNAL MEDICINE & PEDIATRICS

Laboratory Demographics

  • CLIA Code: 30D1087859
  • Facility Name: BEDFORD INTERNAL MEDICINE & PEDIATRICS
  • Facility Address: 188 ROUTE 101, STE 2
    BEDFORD, NH
    ZIP 03110
  • Facility Phone: 603 663-8052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER PACKARD
  • NPI Number: 1487886503
  • Taxonomy: 1223P0700X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 30D1087859
LAB Type Physician Office
Facility Name BEDFORD INTERNAL MEDICINE & PEDIATRICS
Street 188 ROUTE 101, STE 2
City BEDFORD
State NH
ZIP 03110
Phone 603 663-8052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director JENNIFER PACKARD

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