30D2317358 CLIA NUMBER - COMPREHENSIVE COLLABORATIVE CARE PLLC

Laboratory Demographics

  • CLIA Code: 30D2317358
  • Facility Name: COMPREHENSIVE COLLABORATIVE CARE PLLC
  • Facility Address: 117 MANCHESTER ST
    CONCORD, NH
    ZIP 03301
  • Facility Phone: 603 606-9357
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. GIBSON
  • NPI Number: 1588340749
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 30D2317358
LAB Type Practitioner Other
Facility Name COMPREHENSIVE COLLABORATIVE CARE PLLC
Street 117 MANCHESTER ST
City CONCORD
State NH
ZIP 03301
Phone 603 606-9357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Practitioner Other
Lab Director STEPHEN M. GIBSON

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