CLIA lab

CLIA 30D2042771: MT Washington Valley Dialysis Center

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

CLIA number 30D2042771 belongs to MT Washington Valley Dialysis Center in Conway, NH.

Certificate of Waiver, effective June 20, 2026, expires June 19, 2028.

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
June 20, 2026
Certificate expiration
June 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 20, 2012
Facility type
End stage renal disease dialysis facility
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
30D2042771
Lab name
MT Washington Valley Dialysis Center
Address
21B Poliquin Dr, Conway, NH 03818
Phone
(603) 447-3976
Fax
(603) 447-3944

Annual test volume the lab reported

Waived tests
24

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 MT Washington Valley Dialysis Center in Conway?

30D2042771, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does MT Washington Valley Dialysis Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 30D2042771 expire?

The CMS file lists June 19, 2028 as the certificate expiration date; the certificate took effect June 20, 2026.

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