CLIA lab
CLIA 30D1011250: Evergreen Place
Manchester, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D1011250 belongs to Evergreen Place in Manchester, NH.
Certificate of Waiver, effective April 4, 2025, expires April 3, 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
- April 4, 2025
- Certificate expiration
- April 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 4, 2003
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- 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
- 30D1011250
- Lab name
- Evergreen Place
- Address
- 813 Beech Street, Manchester, NH 03104
- Phone
- (603) 669-7361
- Fax
- (603) 626-4292
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Manchester, NH
- Adult & Pediatric Dermatology, PCCertificate of Compliance, Physician office30D0931906
- Affinity Care of New Hampshire LLCCertificate of Waiver, Hospice30D2343407
- American Medical ResponseCertificate of Waiver, Ambulance30D2064310
- Amoskeag HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic30D0864947
- Appledore Medical Group IncCertificate of Waiver, Physician office30D2319436
- Bae Independence HallCertificate of Waiver, Other30D2311379
- Bayada Home Health Care, IncCertificate of Waiver, Home health agency30D2117191
- Belonging Medical GroupCertificate of Waiver, Other30D2291919
- Birch Hill TerraceCertificate of Waiver, Assisted living facility30D0085774
- Birch Hill TerraceCertificate of Waiver, Other practitioner30D1090412
Related
Questions
What is the CLIA number for Evergreen Place in Manchester?
30D1011250, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D1011250 expire?
The CMS file lists April 3, 2027 as the certificate expiration date; the certificate took effect April 4, 2025.