30D2278045 CLIA NUMBER - BEDFORD COMMONS OBGYN

Laboratory Demographics

  • CLIA Code: 30D2278045
  • Facility Name: BEDFORD COMMONS OBGYN
  • Facility Address: 50 MICHELS WAY, STE 203
    LONDONDERRY, NH
    ZIP 03053
  • Facility Phone: 603 668-8400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FLETCHER R. WILSON
  • NPI Number: 1457359556
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 30D2278045
LAB Type Physician Office
Facility Name BEDFORD COMMONS OBGYN
Street 50 MICHELS WAY, STE 203
City LONDONDERRY
State NH
ZIP 03053
Phone 603 668-8400
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 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director FLETCHER R. WILSON

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