30D2120111 CLIA NUMBER - CLEARCHOICEMD URGENT CARE

Laboratory Demographics

  • CLIA Code: 30D2120111
  • Facility Name: CLEARCHOICEMD URGENT CARE
  • Facility Address: 24 HOMESTEAD PL
    ALTON, NH
    ZIP 03809
  • Facility Phone: 603 526-4635
  • Facility Type: Other - URGENT CARE CTR
  • Facility Type: Waiver
  • Lab Director: MARK DURCAN
  • NPI Number: 1326582529
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2120111
LAB Type Other - URGENT CARE CTR
Facility Name CLEARCHOICEMD URGENT CARE
Street 24 HOMESTEAD PL
City ALTON
State NH
ZIP 03809
Phone 603 526-4635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Other - URGENT CARE CTR
Lab Director MARK DURCAN

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