30D2268639 CLIA NUMBER - CONVENIENTMD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 30D2268639
  • Facility Name: CONVENIENTMD PRIMARY CARE
  • Facility Address: 1600 WOODBURY AVE
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 603 602-9070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILY A. LAND
  • NPI Number: 1063230654
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2268639
LAB Type Physician Office
Facility Name CONVENIENTMD PRIMARY CARE
Street 1600 WOODBURY AVE
City PORTSMOUTH
State NH
ZIP 03801
Phone 603 602-9070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director EMILY A. LAND

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