30D2126079 CLIA NUMBER - SPEARE MEMORIAL HOSPITAL AT PSU HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 30D2126079
  • Facility Name: SPEARE MEMORIAL HOSPITAL AT PSU HEALTH SERVICES
  • Facility Address: 12 MERRILL ST
    PLYMOUTH, NH
    ZIP 03264
  • Facility Phone: 603 535-2350
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: GABRIELLE GRAY
  • NPI Number: 1235163585
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 30D2126079
LAB Type School/Student Health Service
Facility Name SPEARE MEMORIAL HOSPITAL AT PSU HEALTH SERVICES
Street 12 MERRILL ST
City PLYMOUTH
State NH
ZIP 03264
Phone 603 535-2350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type School/Student Health Service
Lab Director GABRIELLE GRAY

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