CLIA lab
CLIA 30D0936635: Pembroke Wellness Center PLLC
Pembroke, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D0936635 belongs to Pembroke Wellness Center PLLC in Pembroke, NH.
Certificate for Provider-Performed Microscopy Procedures, effective July 15, 2025, expires July 14, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 15, 2025
- Certificate expiration
- July 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 26, 1997
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 30D0936635
- Lab name
- Pembroke Wellness Center PLLC
- Address
- 48 Glass St, Pembroke, NH 03275
- Phone
- (603) 485-7788
- Fax
- (603) 485-7788
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 100
- Total
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Pembroke Wellness Center PLLC in Pembroke?
30D0936635, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pembroke Wellness Center PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 30D0936635 expire?
The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.