30D2146237 CLIA NUMBER - PREMISE HEALTH OF NEW HAMPSHIRE MEDICAL PC

Laboratory Demographics

CLIA Number: 30D2146237

Facility Name: PREMISE HEALTH OF NEW HAMPSHIRE MEDICAL PC

Facility Address:
10 TARA BLVD
NASHUA, NH
ZIP 03062
Get Directions

Facility Phone Number: 603 885-7540

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972194322

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	30D2146237
LAB Type	Physician Office
Facility Name	PREMISE HEALTH OF NEW HAMPSHIRE MEDICAL PC
Street	10 TARA BLVD
City	NASHUA
State	NH
ZIP	03062
Phone	603 885-7540
CertificateType	4
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
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