30D2119955 CLIA NUMBER - KEADY FAMILY PRACTICE, LLC

Home > CLIA Lookup > 30D2119955

Laboratory Demographics

CLIA Number: 30D2119955

Facility Name: KEADY FAMILY PRACTICE, LLC

Facility Address:
214 WASHINGTON ST
CLAREMONT, NH
ZIP 03743
Get Directions

Facility Phone Number: 603 863-7777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366826828

Taxonomy: 363LP2300X - Nurse Practitioner

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
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024