30D2215517 CLIA NUMBER - NORTHEAST DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 30D2215517
  • Facility Name: NORTHEAST DERMATOLOGY ASSOCIATES
  • Facility Address: 155 BORTHWICK AVE, STE 102 WEST
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 603 319-6860
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MOLLY CHARTIER
  • NPI Number: 1548746092
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 30D2215517
LAB Type Physician Office
Facility Name NORTHEAST DERMATOLOGY ASSOCIATES
Street 155 BORTHWICK AVE, STE 102 WEST
City PORTSMOUTH
State NH
ZIP 03801
Phone 603 319-6860
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director MOLLY CHARTIER

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