CLIA lab

CLIA 30D0883291: Plymouth Pediatric & Adolescent Medicine

Plymouth, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 30D0883291 belongs to Plymouth Pediatric & Adolescent Medicine in Plymouth, NH.

Certificate of Waiver, effective October 23, 2025, expires October 22, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 23, 2025
Certificate expiration
October 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 1, 1994
Facility type
Physician office
Ownership (control type)
Other
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
30D0883291
Lab name
Plymouth Pediatric & Adolescent Medicine
Address
71 Highland St, Plymouth, NH 03264
Phone
(603) 536-3700
Fax
(603) 536-5384

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Plymouth, NH

Related

Questions

What is the CLIA number for Plymouth Pediatric & Adolescent Medicine in Plymouth?

30D0883291, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Plymouth Pediatric & Adolescent Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 30D0883291 expire?

The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.

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