CLIA lab
CLIA 30D0965636: Premise Health of New Hampshire Medical, PC
Merrimack, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D0965636 belongs to Premise Health of New Hampshire Medical, PC in Merrimack, NH.
Certificate of Waiver, effective September 27, 2025, expires September 26, 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
- September 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 1999
- 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
- 30D0965636
- Lab name
- Premise Health of New Hampshire Medical, PC
- Address
- 130 Daniel Webster Hwy, MER12-1540, Merrimack, NH 03054
- Phone
- (603) 885-4436
- Fax
- (603) 885-3248
Annual test volume the lab reported
- Waived tests
- 2
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Merrimack, NH
- Convenientmd Urgent Care - MerrimackCertificate of Waiver, Other30D2089193
- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office30D2303630
- Home Health and Hospice CareCertificate of Waiver, Home health agency30D0671046
- Inhouse Physicians - Elbit, Merrimack, NHCertificate of Waiver, Industrial30D2119679
- Mary Hitchcock Memorial HospitalCertificate for Provider-Performed Microscopy Procedures, Physician office30D0868681
- Merrimack Fire RescueCertificate of Waiver, Ambulance30D0865642
- Merrimack Medical CenterCertificate of Waiver, Physician office30D0958118
- Merrimack Village Family Practice CenterCertificate for Provider-Performed Microscopy Procedures, Physician office30D0084963
- Myeyedr Optometry of New HampshireCertificate of Waiver, Physician office30D2120661
- Novella Infusion, LLCCertificate of Waiver, Other30D2312371
Related
Questions
What is the CLIA number for Premise Health of New Hampshire Medical, PC in Merrimack?
30D0965636, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of New Hampshire Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D0965636 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.