30D2202942 CLIA NUMBER - NORTHERN HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 30D2202942
  • Facility Name: NORTHERN HUMAN SERVICES
  • Facility Address: 25 W MAIN ST
    CONWAY, NH
    ZIP 03818
  • Facility Phone: 603 447-2111
  • Facility Type: Other - NETWORK COMM CLINICS
  • Facility Type: Waiver
  • Lab Director: MELISSA A. MYERS
  • NPI Number: 1700955028
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2202942
LAB Type Other - NETWORK COMM CLINICS
Facility Name NORTHERN HUMAN SERVICES
Street 25 W MAIN ST
City CONWAY
State NH
ZIP 03818
Phone 603 447-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Other - NETWORK COMM CLINICS
Lab Director MELISSA A. MYERS

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