CLIA lab
CLIA 30D2175684: Surgical Center of New Hampshire at Derry
Derry, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D2175684 belongs to Surgical Center of New Hampshire at Derry in Derry, NH.
Certificate of Waiver, effective November 26, 2025, expires November 25, 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
- November 26, 2025
- Certificate expiration
- November 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 26, 2019
- Facility type
- Ambulatory surgery center
- 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
- 30D2175684
- Lab name
- Surgical Center of New Hampshire at Derry
- Address
- 15 Tsienneto Rd, Ste 101, Derry, NH 03038
- Phone
- (833) 946-0896
- Fax
- (603) 371-2680
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 Derry, NH
- Bedford Commons ObgynCertificate for Provider-Performed Microscopy Procedures, Physician office30D1033708
- DMC Primary CareCertificate of Waiver, Physician office30D2033072
- DMC Primary Care - DerryCertificate of Waiver, Physician office30D0084805
- Derry Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office30D2190750
- Derry Medical Center, PACertificate of Waiver, Physician office30D2190499
- Derry PediatricsCertificate of Waiver, Physician office30D0084807
- Derry Rehabilitation & Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility30D0084798
- Granite House Sober Living, LLC, theCertificate of Waiver, Other30D2180944
- Greg R Thompson MDCertificate of Waiver, Physician office30D2121722
- Liberty Health ServicesCertificate of Waiver, Ancillary test site30D2223268
Related
Questions
What is the CLIA number for Surgical Center of New Hampshire at Derry in Derry?
30D2175684, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Surgical Center of New Hampshire at Derry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D2175684 expire?
The CMS file lists November 25, 2027 as the certificate expiration date; the certificate took effect November 26, 2025.