30D2285429 CLIA NUMBER - CONVENIENTMD PRIMARY CARE MANCHESTER

Laboratory Demographics

  • CLIA Code: 30D2285429
  • Facility Name: CONVENIENTMD PRIMARY CARE MANCHESTER
  • Facility Address: 545 HOOKSETT RD, UNIT 1
    MANCHESTER, NH
    ZIP 03104
  • Facility Phone: 603 255-4775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELANIE J. HERRICK
  • NPI Number: 1174238992
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2285429
LAB Type Physician Office
Facility Name CONVENIENTMD PRIMARY CARE MANCHESTER
Street 545 HOOKSETT RD, UNIT 1
City MANCHESTER
State NH
ZIP 03104
Phone 603 255-4775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director MELANIE J. HERRICK

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