30D2328652 CLIA NUMBER - ORCHARD IMAGING, LLC

Laboratory Demographics

  • CLIA Code: 30D2328652
  • Facility Name: ORCHARD IMAGING, LLC
  • Facility Address: 19 KEEWAYDIN DR, STE 2
    SALEM, NH
    ZIP 03079
  • Facility Phone: 603 685-4781
  • Facility Type: Other - IDTF - MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: TARA M. JENKINS
  • NPI Number: 1063007219
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2328652
LAB Type Other - IDTF - MEDICAL IMAGING
Facility Name ORCHARD IMAGING, LLC
Street 19 KEEWAYDIN DR, STE 2
City SALEM
State NH
ZIP 03079
Phone 603 685-4781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Other - IDTF - MEDICAL IMAGING
Lab Director TARA M. JENKINS

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