30D2242781 CLIA NUMBER - COOS COUNTY DEPARTMENT OF CORRECTIONS

Laboratory Demographics

  • CLIA Code: 30D2242781
  • Facility Name: COOS COUNTY DEPARTMENT OF CORRECTIONS
  • Facility Address: 168 COUNTY FARM RD
    W STEWARTSTOWN, NH
    ZIP 03597
  • Facility Phone: 603 246-3315
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MOLLY BOUDREAU
  • NPI Number: 1114922788
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D2242781
LAB Type Prison
Facility Name COOS COUNTY DEPARTMENT OF CORRECTIONS
Street 168 COUNTY FARM RD
City W STEWARTSTOWN
State NH
ZIP 03597
Phone 603 246-3315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Prison
Lab Director MOLLY BOUDREAU

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