30D2028966 CLIA NUMBER - TILTON CBOC

Laboratory Demographics

  • CLIA Code: 30D2028966
  • Facility Name: TILTON CBOC
  • Facility Address: 630 WEST MAIN STREET
    TILTON, NH
    ZIP 03276
  • Facility Phone: 603 624-4366
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DONGFEN CHEN
  • NPI Number: 1871566810
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 30D2028966
LAB Type Community Clinic
Facility Name TILTON CBOC
Street 630 WEST MAIN STREET
City TILTON
State NH
ZIP 03276
Phone 603 624-4366
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/29/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DONGFEN CHEN

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