30D2029167 CLIA NUMBER - IMMEDIATE CARE OF SOUTHERN NEW HAMPSHIRE HUDSON

Laboratory Demographics

  • CLIA Code: 30D2029167
  • Facility Name: IMMEDIATE CARE OF SOUTHERN NEW HAMPSHIRE HUDSON
  • Facility Address: 300 DERRY RD
    HUDSON, NH
    ZIP 03051
  • Facility Phone: 603 579-5472
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DILIP YARABOTHU
  • NPI Number: 1295079093
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2029167
LAB Type Physician Office
Facility Name IMMEDIATE CARE OF SOUTHERN NEW HAMPSHIRE HUDSON
Street 300 DERRY RD
City HUDSON
State NH
ZIP 03051
Phone 603 579-5472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director DILIP YARABOTHU

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