30D2034938 CLIA NUMBER - ONE MEDICAL AT DARTMOUTH

Laboratory Demographics

  • CLIA Code: 30D2034938
  • Facility Name: ONE MEDICAL AT DARTMOUTH
  • Facility Address: 7 ALLEN ST, STE 100
    HANOVER, NH
    ZIP 03755
  • Facility Phone: 888 663-6331
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RONALD S. ENGLERT
  • NPI Number: 1700285616
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2034938
LAB Type Physician Office
Facility Name ONE MEDICAL AT DARTMOUTH
Street 7 ALLEN ST, STE 100
City HANOVER
State NH
ZIP 03755
Phone 888 663-6331
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director RONALD S. ENGLERT

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