30D2121722 CLIA NUMBER - GREG R THOMPSON MD

Laboratory Demographics

  • CLIA Code: 30D2121722
  • Facility Name: GREG R THOMPSON MD
  • Facility Address: 59 EAST BROADWAY, UNIT 1A
    DERRY, NH
    ZIP 03038
  • Facility Phone: 603 770-7737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREG R. THOMPSON
  • NPI Number: 1073720355
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 30D2121722
LAB Type Physician Office
Facility Name GREG R THOMPSON MD
Street 59 EAST BROADWAY, UNIT 1A
City DERRY
State NH
ZIP 03038
Phone 603 770-7737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director GREG R. THOMPSON

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