30D2237219 CLIA NUMBER - CHANGE WITH MORE EASE LLC

Laboratory Demographics

  • CLIA Code: 30D2237219
  • Facility Name: CHANGE WITH MORE EASE LLC
  • Facility Address: 20 W PARK ST, STE 420
    LEBANON, NH
    ZIP 03766
  • Facility Phone: 603 667-6743
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY FORD
  • NPI Number: 1831865153
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 30D2237219
LAB Type Practitioner Other
Facility Name CHANGE WITH MORE EASE LLC
Street 20 W PARK ST, STE 420
City LEBANON
State NH
ZIP 03766
Phone 603 667-6743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2023
Certificate Expiration Date 9/22/2025
Facility Type Practitioner Other
Lab Director MARY FORD

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This page was last updated on: 3/20/2025