30D2125020 CLIA NUMBER - DERRY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 30D2125020
  • Facility Name: DERRY MEDICAL CENTER
  • Facility Address: 160 SOUTH RIVER RD
    BEDFORD, NH
    ZIP 03110
  • Facility Phone: 603 537-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT NORTHCUTT
  • NPI Number: 1992834568
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2125020
LAB Type Physician Office
Facility Name DERRY MEDICAL CENTER
Street 160 SOUTH RIVER RD
City BEDFORD
State NH
ZIP 03110
Phone 603 537-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director ALBERT NORTHCUTT

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