CLIA lab
CLIA 30D2138566: Executive Health and Sports Center
Manchester, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D2138566 belongs to Executive Health and Sports Center in Manchester, NH.
Certificate of Waiver, effective October 20, 2025, expires October 19, 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 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2017
- Facility type
- Health fair
- 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
- 30D2138566
- Lab name
- Executive Health and Sports Center
- Address
- 1 Highlander Way, Manchester, NH 03103
- Phone
- (603) 668-4753
- Fax
- (603) 641-6314
Annual test volume the lab reported
- Waived tests
- 500
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 Executive Health and Sports Center in Manchester?
30D2138566, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Executive Health and Sports Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D2138566 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.