30D2245258 CLIA NUMBER - COASTAL SURGICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 30D2245258
  • Facility Name: COASTAL SURGICAL CENTER, LLC
  • Facility Address: 291 SHATTUCK WAY
    NEWINGTON, NH
    ZIP 03801
  • Facility Phone: 603 314-8035
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NEWTON TIMOTHY PETERS
  • NPI Number: 1336713890
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2245258
LAB Type Ambulatory Surgery Center
Facility Name COASTAL SURGICAL CENTER, LLC
Street 291 SHATTUCK WAY
City NEWINGTON
State NH
ZIP 03801
Phone 603 314-8035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Ambulatory Surgery Center
Lab Director NEWTON TIMOTHY PETERS

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