30D2015751 CLIA NUMBER - ACTIVMED PRACTICES AND RESEARCH INC

Laboratory Demographics

  • CLIA Code: 30D2015751
  • Facility Name: ACTIVMED PRACTICES AND RESEARCH INC
  • Facility Address: 110 CORPORATE DR, STE 2
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: (603) 319-8863
  • Facility Type: Other - CLINCIAL RESEARCH OFFICE
  • Facility Type: Waiver
  • Lab Director: BERTRAND P. COLE
  • NPI Number: 1457624041
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2015751
LAB Type Other - CLINCIAL RESEARCH OFFICE
Facility Name ACTIVMED PRACTICES AND RESEARCH INC
Street 110 CORPORATE DR, STE 2
City PORTSMOUTH
State NH
ZIP 03801
Phone 6033198863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Other - CLINCIAL RESEARCH OFFICE
Lab Director BERTRAND P. COLE

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This page was last updated on: 6/29/2026