30D2069888 CLIA NUMBER - GEORGE NOWAK MD

Laboratory Demographics

  • CLIA Code: 30D2069888
  • Facility Name: GEORGE NOWAK MD
  • Facility Address: 539 ISLINGTON ST
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 603 427-6565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE NOWAK
  • NPI Number: 1265526024
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 30D2069888
LAB Type Physician Office
Facility Name GEORGE NOWAK MD
Street 539 ISLINGTON ST
City PORTSMOUTH
State NH
ZIP 03801
Phone 603 427-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director GEORGE NOWAK

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