30D2239097 CLIA NUMBER - MIDDLESEX RECOVERY, PC

Laboratory Demographics

  • CLIA Code: 30D2239097
  • Facility Name: MIDDLESEX RECOVERY, PC
  • Facility Address: 45 STILES RD, UNIT 206
    SALEM, NH
    ZIP 03079
  • Facility Phone: 603 824-6937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN W. OCONNOR
  • NPI Number: 1033712179
  • Taxonomy: 2083A0300X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2239097
LAB Type Physician Office
Facility Name MIDDLESEX RECOVERY, PC
Street 45 STILES RD, UNIT 206
City SALEM
State NH
ZIP 03079
Phone 603 824-6937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Physician Office
Lab Director BRIAN W. OCONNOR

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