30D2296853 CLIA NUMBER - MAT CARE CLINICS

Laboratory Demographics

  • CLIA Code: 30D2296853
  • Facility Name: MAT CARE CLINICS
  • Facility Address: 293 WILSON ST
    MANCHESTER, NH
    ZIP 03103
  • Facility Phone: 603 821-0056
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BORIS GOLOSARSKY
  • NPI Number: 1730789025
  • Taxonomy: 2083A0300X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D2296853
LAB Type Physician Office
Facility Name MAT CARE CLINICS
Street 293 WILSON ST
City MANCHESTER
State NH
ZIP 03103
Phone 603 821-0056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director BORIS GOLOSARSKY

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