30D2119955 CLIA NUMBER - KEADY FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 30D2119955
  • Facility Name: KEADY FAMILY PRACTICE, LLC
  • Facility Address: 214 WASHINGTON ST
    CLAREMONT, NH
    ZIP 03743
  • Facility Phone: 603 863-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CECILIA VICUNA KEADY
  • NPI Number: 1366826828
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 30D2119955
LAB Type Physician Office
Facility Name KEADY FAMILY PRACTICE, LLC
Street 214 WASHINGTON ST
City CLAREMONT
State NH
ZIP 03743
Phone 603 863-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director DR. CECILIA VICUNA KEADY

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