30D2170745 CLIA NUMBER - NORTHRIDGE SURGICAL SUITES, LLC

Laboratory Demographics

  • CLIA Code: 30D2170745
  • Facility Name: NORTHRIDGE SURGICAL SUITES, LLC
  • Facility Address: 41 INNOVATIVE WAY
    NASHUA, NH
    ZIP 03062
  • Facility Phone: 603 484-7710
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH J. CZARNECKI
  • NPI Number: 1548822620
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2170745
LAB Type Ambulatory Surgery Center
Facility Name NORTHRIDGE SURGICAL SUITES, LLC
Street 41 INNOVATIVE WAY
City NASHUA
State NH
ZIP 03062
Phone 603 484-7710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Ambulatory Surgery Center
Lab Director JOSEPH J. CZARNECKI

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