30D2283756 CLIA NUMBER - SPECIALTY INSTITUTE PLLC

Laboratory Demographics

  • CLIA Code: 30D2283756
  • Facility Name: SPECIALTY INSTITUTE PLLC
  • Facility Address: 101 SHATTUCK WAY, STE 6
    NEWINGTON, NH
    ZIP 03801
  • Facility Phone: 603 778-9921
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANH NGO
  • NPI Number: 1932833621
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2283756
LAB Type Physician Office
Facility Name SPECIALTY INSTITUTE PLLC
Street 101 SHATTUCK WAY, STE 6
City NEWINGTON
State NH
ZIP 03801
Phone 603 778-9921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director ANH NGO

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