30D2060064 CLIA NUMBER - IMMEDIATE CARE OF SOUTHERN NEW HAMSPHIRE AT SOUTH NASHUA

Laboratory Demographics

  • CLIA Code: 30D2060064
  • Facility Name: IMMEDIATE CARE OF SOUTHERN NEW HAMSPHIRE AT SOUTH NASHUA
  • Facility Address: 112 SPIT BROOK RD, STE A
    NASHUA, NH
    ZIP 03062
  • Facility Phone: 603 577-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DILIP YARABOTHU
  • NPI Number: 1750625554
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2060064
LAB Type Physician Office
Facility Name IMMEDIATE CARE OF SOUTHERN NEW HAMSPHIRE AT SOUTH NASHUA
Street 112 SPIT BROOK RD, STE A
City NASHUA
State NH
ZIP 03062
Phone 603 577-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director DILIP YARABOTHU

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