30D2142021 CLIA NUMBER - MEMORIAL HOSPITAL

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CLIA Record

Field Name Field Value
CLIA Number 30D2142021
LAB Type Hospital
Facility Name MEMORIAL HOSPITAL
Street 3073 WHITE MOUNTAIN HWY
City NORTH CONWAY
State NH
ZIP 03860
Phone 603 356-5461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Hospital
Lab Director KRISTINE DASCOULIAS

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