30D2267337 CLIA NUMBER - MID-STATE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 30D2267337
  • Facility Name: MID-STATE HEALTH CENTER
  • Facility Address: 6 SOUTH MOUNTAIN DR
    LINCOLN, NH
    ZIP 03251
  • Facility Phone: 603 536-4000
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DAVID FAGAN
  • NPI Number: 1811156409
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2267337
LAB Type Federally Qualified Health Center
Facility Name MID-STATE HEALTH CENTER
Street 6 SOUTH MOUNTAIN DR
City LINCOLN
State NH
ZIP 03251
Phone 603 536-4000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Federally Qualified Health Center
Lab Director DAVID FAGAN

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