30D2132358 CLIA NUMBER - MED CHECK

Laboratory Demographics

CLIA Number: 30D2132358

Facility Name: MED CHECK

Facility Address:
389 TENNEY MOUNTAIN HWY, UNIT D
PLYMOUTH, NH
ZIP 03264
Get Directions

Facility Phone Number: 603 481-8706

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1922532688

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	30D2132358
LAB Type	Community Clinic
Facility Name	MED CHECK
Street	389 TENNEY MOUNTAIN HWY, UNIT D
City	PLYMOUTH
State	NH
ZIP	03264
Phone	603 481-8706
CertificateType	4
CertificateEffectiveDate	6/19/2023
CertificateExpirationDate	6/18/2025
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