30D2299872 CLIA NUMBER - CATHEDRAL LEDGE MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 30D2299872
  • Facility Name: CATHEDRAL LEDGE MEDICAL ASSOCIATES
  • Facility Address: 1857 WHITE MOUNTAIN HWY, STE A1
    NORTH CONWAY, NH
    ZIP 03860
  • Facility Phone: 603 733-8174
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOHAIB SIDDIQUI
  • NPI Number: 1083487599
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 30D2299872
LAB Type Physician Office
Facility Name CATHEDRAL LEDGE MEDICAL ASSOCIATES
Street 1857 WHITE MOUNTAIN HWY, STE A1
City NORTH CONWAY
State NH
ZIP 03860
Phone 603 733-8174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director SOHAIB SIDDIQUI

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