30D2328467 CLIA NUMBER - PHOENIX SOLUTIONS FOR HEALTH

Laboratory Demographics

  • CLIA Code: 30D2328467
  • Facility Name: PHOENIX SOLUTIONS FOR HEALTH
  • Facility Address: 95 BREWERY LN, 1ST FL, STE 5
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 833 707-4636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON CASTONGUAY
  • NPI Number: 1639958473
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 30D2328467
LAB Type Physician Office
Facility Name PHOENIX SOLUTIONS FOR HEALTH
Street 95 BREWERY LN, 1ST FL, STE 5
City PORTSMOUTH
State NH
ZIP 03801
Phone 833 707-4636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director ALLISON CASTONGUAY

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