30D2284818 CLIA NUMBER - ELLIOT MATERNAL FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 30D2284818
  • Facility Name: ELLIOT MATERNAL FETAL MEDICINE
  • Facility Address: 4 ELLIOT WAY, STE 203
    MANCHESTER, NH
    ZIP 03103
  • Facility Phone: 603 663-3390
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BETHANY HART
  • NPI Number: 1093072407
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 30D2284818
LAB Type Physician Office
Facility Name ELLIOT MATERNAL FETAL MEDICINE
Street 4 ELLIOT WAY, STE 203
City MANCHESTER
State NH
ZIP 03103
Phone 603 663-3390
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 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director BETHANY HART

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