30D2263535 CLIA NUMBER - PERAZA DERMATOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 30D2263535
  • Facility Name: PERAZA DERMATOLOGY GROUP
  • Facility Address: 367 ROUTE 120, STE A1
    LEBANON, NH
    ZIP 03766
  • Facility Phone: 603 542-6455
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOSE E. PERAZA
  • NPI Number: 1518500016
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 30D2263535
LAB Type Physician Office
Facility Name PERAZA DERMATOLOGY GROUP
Street 367 ROUTE 120, STE A1
City LEBANON
State NH
ZIP 03766
Phone 603 542-6455
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 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director JOSE E. PERAZA

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