30D2201496 CLIA NUMBER - LITCHFIELD FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 30D2201496
  • Facility Name: LITCHFIELD FIRE RESCUE
  • Facility Address: 10 LIBERTY WAY
    LITCHFIELD, NH
    ZIP 03052
  • Facility Phone: 603 424-8071
  • Facility Type: Other - NON-TRANSPORT EMS
  • Facility Type: Waiver
  • Lab Director: PAUL M. KELLY
  • NPI Number: 1780897058
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 30D2201496
LAB Type Other - NON-TRANSPORT EMS
Facility Name LITCHFIELD FIRE RESCUE
Street 10 LIBERTY WAY
City LITCHFIELD
State NH
ZIP 03052
Phone 603 424-8071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Other - NON-TRANSPORT EMS
Lab Director PAUL M. KELLY

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