30D1098556 CLIA NUMBER - DERRY DIALYSIS

Laboratory Demographics

  • CLIA Code: 30D1098556
  • Facility Name: DERRY DIALYSIS
  • Facility Address: 1 ACTION BLVD, SUITE #2
    LONDONDERRY, NH
    ZIP 03053
  • Facility Phone: 603 421-9724
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JILL MELENDEZ YOUNG
  • NPI Number: 1083856074
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D1098556
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DERRY DIALYSIS
Street 1 ACTION BLVD, SUITE #2
City LONDONDERRY
State NH
ZIP 03053
Phone 603 421-9724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JILL MELENDEZ YOUNG

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